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��� <br />��x <br />ayc~n <br />H�� <br />fC C] <br />H 7J <br />oxo <br />'�J H '+] <br />yx N C' <br />C�1 O � <br />HC <br />pH <br />�� � g <br />hV n <br />zyy� <br />rHH <br />gy <br />�d� <br />��� <br />x y �n <br />H O [n <br />� �•. <br />BIJIL�Ifd� PERR�li �NFORMATI�N <br />� /�`l I " TYPE ��+-tLrcJ� �Mrcy Kt�S <br />ADDRESS -� � � S`�" � Co3ct S-p <br />('I) BUILDING PEF+MIT FEE LOD� n��� ��—� <br />�PO � �PS��_ <br />(q) PLAN CHECK FEE �S pd <br />(2) PLUMBING 7(o.5�j <br />(3) MECHANICAL <br />(4} W'ATER SERViCE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCH <br />(A) TO 8E DETERMINED E�'f BLDG INSPECTOR _ <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(Cj APPROX. LOCATION _ <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDRIVEWAI ( YPE) S�'�� <br />SUANCE _ FEET <br />� <br />(7) STATUS O�F S WER CHARGES <br />BOND --Y DISTRICT FOOTAGE <br />N, 5, E, W <br />NOTES <br />5'F�n� u'77c.�� �: <br />�20 / i7/— 8S <br />N2 r� 22�•� <br />�� ��`_�. <br />$813.� <br />SEWER CO.�NECTION CHARGES 2ZD•DD <br />YEAR 8� TRUNK $ � �� <br />LATERAL 7 Z���C� <br />TOTAL CONNECTION CHARGES $ _ <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHL`� SEWER CHARGES: <br />SEWCR CONSTRUCTION <br />g '��.�0 <br />_� <br />� � "� _ <br />TRUCK $ <br />LATERAL <br />SEW[R. SERVICE <br />APPROX. LG•'"ATION C)F SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVnL: <br />E� <br />CHART <br />DATE <br />DATE <br />T <br />