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� <br /> , <br /> ; _ _ <br /> BUILDING PERMlT INFORMATION <br /> ADDRESS �q � — � �iy c�i�/ ,� TYPE <br /> (1) BUILDING PERMIT FEE $ � 'r� $� <br /> (A) PLAN CHECK FEE 2I�• `�8 <br /> (2) PLUMBING .S�f1,J(', <br /> (3) MECHANICAL /� •S'�-a�� <br /> (4) WATER SERVICE TO HE PAID I'HIOR TU L�UILDING PERMIT ISSUANCE (L�� � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � ItvCH <br /> (8) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. ! �CATION _ <br /> CHART _ <br /> � (5) DRIVEWAI' PERh11T TO 6[ PAID PRIOR TO l3U�LDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY (TYPE) S __ ��J � _._ <br /> S <br /> (7) STATUS OF SE.WER CHARGES: <br /> [sOND �.�. D�STRICT FOOTAGE — <br /> N, S, E, W <br /> NOTES � I 1 <br /> �a f� c '� .1�f✓p(c� .0 Yn f r P e R i i'vnb� G i.00 p <br /> ,. �See .torEe �n Laf 3 � � � 1 0 SO <br /> G� cf� //7/ - ��S � <br /> l�8- sa {�J� <br /> �.�_ u,,,� 3a-5't <br /> Secw� �'S. 4/ <br /> SEWER CONNECTION CHARGES <br /> � V YEAR TRUNK 5 —¢���.. �rl <br /> �—CATERAL --�7-� P � <br /> TOTAL CONNECTIUN CHARGES $ — 7� <br /> SEWER PERMIT FEE b �O� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERiv11T rEES $ <br /> (7) h10NTHLY SEW'ER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIQE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFOCOMPILED BY: DATE � <br /> -q <br /> nPPROVAL: DATE ,j <br /> t: <br /> � '� <br /> i <br /> I <br /> �,a� I <br /> 'S�i7D:�T�'6•:•..:::: • u.'.'�.. � . ; . ... . . ,. . . ... _. .., . . . . . .. . . , ' . _ ... . _� . <br />