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BUILDING PERMIT iNfORMATION <br />ADDRCSS - -- IYPE _ <br />(1) BUIIDIN� PERMIT F[C. � <br />(A) PI.�N CHFCK FFE <br />(2i PLU�IBING <br />(3) MECHANICAL <br />(4) WAT[R Sf RVICE TO H[ P�11D PRIOR TO RUILDING PERMIT ISSU�NC[ <br />(A1 TO BE DF.TFRMINFD RY E3LDG INSPFCTOR INCH <br />(B) EXIST �VnTFR SERVICE, nPPLICnTION NO. <br />(C1 APPROX. LOCATION <br />CH�RT <br />(5) DRIVE�'VAl' PFRMIT TO BE PAID PRIOR TO BUILDING PERMIT 15 <br />SUANCE FEET DRIVEW�Y(TYPE) S <br />i <br />(7) STATUS OF SE��'ER CHARGES: <br />BONO _ DISTRICT <br />NOTES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARG[S <br />SEWER PERMIT FE[ <br />CHTCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEVVER c HARGES: <br />SEWER CONSTRUCTION <br />S <br />b <br />3 <br />g <br />TRUCK � <br />L�TERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED 8Y: <br />APPROVAL. <br />CHART <br />DATE <br />DATE <br />