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� � <br /> BUILDING PERMIT INFORMATION <br /> �1DDRESS TYPE `Q�+/1A�11�112cr/�.L. <br /> (1) BUILDING PERMIT FEE 7e, � � -�- g S�•s� <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING LLt/s7�Xi <br /> (3) MECHANICAL �-�j� �Mry' <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO B� DETERMINED BY BLDG INSPECTOR �NCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION _ <br /> CHART <br /> (5) DRIVEWAY PERi.11T TO B[ PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> 80ND DISTRICT _FOOTAGE ��� <br /> N, S E, W <br /> NOTES <br /> �f'�Gt,d-L utt G s 7'T/ 11e�� <br /> m.�r., //7/ 8 S " <br /> !�y a 'r¢5. �� <br /> S�-zv�-ra �w. o $ <br /> I � � � �-� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> i <br /> SEWER PERMIT FEE 3 ��� n <br /> � <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES E 30'�� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK E — <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFOCOMPILED BY: DATE <br /> APPROVAL: DATE <br /> », <br />