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�, - -. __ .. .. . ;, J <br />...,,_. •,: <br />BUILDING PERMIT INFORMATION ; ; ; a ,,�, :: <br />ADDRESS �✓�0�� �B�M�O � TYPE �r� �rTSV . <br />(1) BUILDING PERMIT FEEa�d4���'� S ' <br />(A) PLAN CHECK FEE 1� � � <br />(2) PLUMBING ��� � a <br />(3) MECHANICAL IO� � <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER�IT ISSUANCE <br />(A) TO BE DETERMINED HY BLDG INSP.ECTOR _� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NQ. . <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- n <br />SUANCE FEET DRIVEWAY(TYPE) S G�•Ov — <br />S <br />(7) STATUS OF SEWER CHARCES: <br />80ND �DISTRICT FUOTAGE <br />NOTES <br />s�LIA,C_ crirLl'R� <br />c��o ri7/-8s' <br />�y0 r�9,� <br />N, 5, E, W <br />F� <br />SEWER CONNECTION CHARGES <br />YEAR S� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />5•B4 <br />S 6r'AE�t�I�T � <br />t,r� - � OLO. <br />s //7/� •rj <br />s ,30.Bo <br />S <br />CHART <br />DATE <br />DATE <br />