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� �;_ �;� <br /> � <br /> � <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS ���� ��Y�'� �� "�' TYPE <br /> (1) BUILDING P[RMIT FEE $ -- `— <br /> (A) PLAN CHECK FEE � <br /> � <br /> (2) PLUMBING <br /> (3) MECHANICAL /���,r�`� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM T11�SSUANCE („O�.i�--� <br /> (A) TO BE DETFRMINED BY E3LDG INSPECTOR � INCH I <br /> (B) EXIST. WATEP, SERVICE, AFPLICATION NO. � <br /> �� (C) APPROX. LOCATION <br /> i. <br /> CHART <br /> F. <br /> � (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- _ �/pj <br /> 3: SUANCE FEET DRIVEWAY (TYPE) S ���� <br /> i' s _. <br /> �; (7J STATUS OF SEWER CHARGES: <br /> � BOND _�— DISTRICT POOTAGE _ <br /> N, S, E, W <br /> NOTES <br /> ��, < < � rg5 v.�o� �a� � <br /> ; <br /> i <br /> i' <br /> �' <br /> i: <br /> �� SEWER CONNECTION CHARGES <br /> }' YEAR TRUNK S <br /> a; LATERAL <br /> '� TOTAL CONNECTION CHARGES S <br /> � <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S _ �� <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 /> I <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> :, � <br /> ner I <br /> • . . . ....... _. . . . . _ ... .. . I.. <br /> . <br />