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� I <br /> IBUILDING �'��t11� iT I �IFORMATIC)N <br /> ADDRESS �D�C'�7 ��� �• 5•� � TYPF.SIuu �M«� L'E5. <br /> (1) BUILDING PERMIT FEE LpS � -� � `�SZ • �v <br /> (A) PLAN CHECK FEF $ �`5 'Ov <br /> (2) PLUMBINC �p��� <br /> (3) MECHANICAL �}�-�� <br /> (4) WATER SERVICE TO Br PAID PRIOR TO BUILDING PERM T ISSUANCE __ ��' ��� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION O. ._ <br /> (C) APPROX. LOCATION <br /> CHARI' <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE rEET DRIVEWAY(TYPE) 3 �IiD� DU <br /> 3 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � DISTRIC i FOOTAGE <br /> N, S, E, W I, <br /> NOTES <br /> �,�a� u7e��ry �-- <br /> ���� l�����r . <br /> �f2 � /-�ct, ot7 <br /> ti�� $ <br /> SEWER CONNECTION CHARGES <br /> YEAR 87 TRUNK 3 3� ' �v <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _-�'�0" <br /> SEWER PERMIT FEE $ ���U <br /> �- <br /> CATCH BASIN PERMIT FEE �� <br /> TOTAL SEWER FERMIT FEES $ '�v <br /> (7) MONfHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK � <br /> LATERAL - <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN 1"HE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 5 84 <br />