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r <br /> � � � <br />� � � �11LDING PERMIT INFORMATIO (d <br /> , <br /> , � <br /> ADDRESS ( �SIO � � � �• S.�° TYPES�►t nr+t�. P..� <br /> (�) E3UILDING PERMIT FEE � (p0� �j�.� g 5�'i.°5 O <br /> (A) PLAN CHECK FEf_ SO• '3� _ <br /> (2) PLUMBING 'JS. C9 Z� <br /> (3) ME'�HANICAL —�'SD <br /> � (4) WATCR SERVICE T() HE FAID PRIOR TO BUILDING PERMIT ISSU.�NCE f�lU. CS�D <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> ' _CHART <br /> (5) DRIVEWAY P[RMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET _ DRIVEWAY(TYPE) � 2�.�0 <br /> S <br /> . (7) STATUS O� SEW[R CHARGES: <br /> 80ND L_� DISTRICT FOOTAGE <br /> � N, S, �, W <br /> NOTES ' <br /> ��.,.�._. t,�-ci�� -�-� <br /> ,' o�o ��7►-8s <br /> ' �-Z"� t-iq. on <br /> c—� �.`t t _ o c� <br /> ���o•. c�� <br /> ' ''� SEWER CONNECTION CHnRGES <br /> .-� . -� YcAR � 8, TRUNK $ 330. �[� <br /> ; . . --_ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S �'�-Bd <br /> • r .,-. <br /> SEWER PERMIT FEE S -� �%C� <br /> � . CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S —�'�v <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> � LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAfN: <br /> CHART <br /> � INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> ; ; <br /> i � <br /> s•ea <br />