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BUILDI(�G PERMIT INFORMATION <br /> IIDDRESS �/7 �rH �2. S•C' TYPE �1�4LE -�a.n,cy � <br /> (1) BUILDlNG PERMIT FEE '70��.°= 5 343.00 <br /> (�1) PLAN CHECK FEE / 9•'SO DuC <br /> f2) P!UMBiNC 28 -va <br /> (3) MECHANICAL _ 22,5--a <br /> (4) WATER SE��VICE TO BE PAID PRIOR TO BIIILDINC PERM T ISSUANCE ��- �`� <br /> (A) TO BE DETERMINEC �Y BLDG INSPECTOR___.� INCH <br /> (B) �XI57. . WATER SERVICE, APPLICATIOI� NO. <br /> ((:) APF'KUX. LUCAIIUN �P�i� -7v F��opQq�c 2' <br /> ,c.ie� S.W cos o►(,c,-r _CHART u' 5� 28"`� <br /> (5) DRIVEWAY PERMIT TO BE �'AID PRIOR TO BUILDING PERMIT IS• � <br /> SUANCE FEET DRIVEWAY(TYPE) 3 2 �-d� <br /> 5 �(3�Uc� <br /> (7) STATUS OF SEWER CHARCES: <br />:; BOND -� DISTRICT FOOTACE <br /> `� N, S, E, W <br /> : NOTES <br /> i9 <br />; 5�`�Z �D!_.�V .��� <br />!� O�O //7/-8S <br />.y SL illLs LG F#A. � <br /> i (-�Z O (-Zq . csc� <br /> r s�zut� 41 t . c�c� <br /> a <br />� tos-o. e`' <br />; SEWER CONNECTION CHARCES <br />; YEAR 8� TRUNK 3 Z-lO-�� <br />� LATERAL <br />; TOTAL CONNECTION CHARGES 3 270 ' � <br />� <br /> 1 SEWER PERMIT FEE g 3�• �a <br /> CATCH BASIN PERMIT FEE <br />� TOTAL �EWER PERMIT FEES g 30..DC7 <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPRC�X. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: =�'Zu�3�'� T� P�_ <br /> ►���N S �T � BF S W Gbr2 9F LBT � bPP26x SPT <br /> 44�1' d-� P��• � CHART Ll-'8"28'S' <br /> INFO COMPILED BY: DATE <br /> APPR04AL: DATE <br /> 5�84 <br />