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�� J <br /> BUILDING PERMIT INFORMATION <br /> ADDRE55 �� s �� � TYPE ��uL'� IV <br /> .S� <br /> (1) BUILDING PERMIT FEE '��/ ��� s 7I• 5C� <br /> (A) PLAN CHECK FEE ,�,s� ��_ <br /> (2) PLUMBING �s'D <br /> (3) MECHANICAL ,B� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMI ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR <br /> � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BU��D VEWAY(TYPE) S ��� •Dv <br /> SUANCE �—FEET _--- <br /> S <br /> p) STATUS OF SEWER CHARCES: _� FOOTAGE �� <br /> BOND �—�ISTRICT <br /> N, 5� E, W <br /> NOTES <br /> s�ati. u�r��7Y � � <br /> c�,�.o u�i-� s� <br /> �ya tzq.� <br /> � d���.� e <br /> i�� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES s <br /> s '�j� �a <br /> SEWER PERMIT FEE <br /> CATCH BASIN PERMIT FEE 3O,Of� <br /> TOTAL SEWER PERMIT FEES S - <br /> (7) MONTHLY SEWER CHARGES: TRUCK s <br /> SEWER CQNSTRUCTION <br /> LATC•RAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> DATE ._.----- <br /> INFO COMPILED BY: DATE <br /> APPROVAL: <br /> 5�84 <br />