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� � <br /> BUILDING PERMIT INfORMATION <br /> ADDRESS ���� �Mi� �T. TYPE ��N/�L . <br /> (11 BUILDING PERMIT FEE �/Ol�OOD •�v s C�43. 0 a <br /> (A) PLAN CHECK FEE P� ' �380� <br /> l2) PLUMBINC /�07 Qi'P�(cv6Ca' <br /> (3) MECHANIUL 'G�OT 'd~VG[�'°�g�r <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE /.�07 QP/'�«a�4�' <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) FXIST. WATER SERVICE, APPLICATION NO. <br /> (q :1PPROX. LOCATION__ — <br /> CH�RT_ <br /> (5) DR�VEWAY PERAl1T TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SU�NCE _FEET —DRIVEW�Y(TYPC) S <br /> S <br /> (7) STATUS OF SEWFR CHARGES: / • <br /> 80ND DI57RICT I�OOTAGE ^'��%%NL+/i�� <br /> N, 5, E. W <br /> Nq TES <br /> (1�/G�j�l/71-TGQ�� �� <br /> tilmT A�'vLrc.vv,�� <br /> No UJG'7�IL t�i� �>����EG. <br /> Q� Ti���� Tir.��, <br /> SEWER CONNECTION CHARCES <br /> YEAR g^ TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEF S <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES f <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL — <br /> SEWER SERVICE <br /> 4PPRO7i. LOCATIOtJ OF SIDE SEWER OR TEE IN THE MA�N: <br /> CHART <br /> �NFO COMPILED BY: DATE <br /> APPROVAL�. DATE <br /> ,:�� <br />