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� <br />: <br />/.1 �C3 5sr� �� �" � TYPE �� <br />ADDRE55 � 23 $ -� <br />,,.2 0,�00. � 36�. <br />(1) BUILDING PERMIT FEE �pg � ��ftJri� <br />(A) PLAN CHECK FEE 3.�,, p� <br />+,�: PLUMBING 3 (o, �b <br />(3) MECHANICAL d2� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � � <br />OR INCH <br />(A) TO BE DETERMINED BY BLDG INSPECT —� <br />(B) EXIST. WATER SERVICE, APPLICATION NO. �� �� <br />(C) APPROX. LOCATION -5 ��- PL'�� ''`� ` ` � <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAIU PRIOR TO BUILDIPJG PERMIT IS- /7 � <br />SUANCE 2'��! FEET Gm•�tG DRIVEWAY (TYPE) S <br />$ -- <br />(7) STATUS OF SEWER CHARGES: � q <br />BOND � DI5TRICT �—FOOTAGE l B d <br />� 5� E� W <br />NOTES <br />SEWER CONNECTION CHARGES <br />YEAR 8 O TRUNK <br />LATERAL <br />TOTAL CONNECTION CHAKGES <br />$ 3�D• ob <br />_--- <br />� 3/y/� $ 30• � <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE ��'�/9 �� <br />TOTAL SEWER PERMIT FEES $ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE <br />INFO COMPILED BY: <br />APPROVAL: <br />9�1•79 <br />TRUCK <br />LA7ERAL <br />$ 3 6-r� <br />r—� <br />CHART <br />DATE <br />DATE <br />.�IET��� <br />/- <br />