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� <br /> � UILDl �`�G PERA/! IT IN �=ORf�r1�4TION ' <br /> ADDRESS ;_ ,� ,, : :: l- ', ,� . TYPE � <br /> (1) BUILDING P[RMIT FEE S �� `� � "r � <br /> � <br /> (A) PLAN CHECK FEE _'1` — <br /> (2) PLUMBING _ �: c� <br /> (�. , 1 <br /> (3) MECHANICAL ` � ���U <br /> � r� <br /> (4) WATER SERVICE TO B[ PAID PRIOR TO BUILDING PEFtiv11�T� ISSUANCE ��C \� '— <br /> (A) TO {3E DETERMINED BY BLDG INSPECTOR - � I INCH � `-? `'�-> <br /> (B) EXIST. WATER SERVICE, APPLICA710N NO. <br /> (C) APPROX. LOCATION <br /> � . <br /> ___ _ CHART� �� <br /> (5) DRIVEWAI' PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ,.C� /� <br /> SUANCE FEET DRIVEWAY (IYPE) S _ -�� ' � _. ' <br /> $ � <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE � <br /> N, S, E, .r � <br /> NOTES <br /> � i ��, �� � i�� l -��- i <br /> / `f�1 ,<:� i <br /> ��'z� I <br /> _'-�� � <br /> i <br /> I <br /> SEWER CONNECTION CHARGES � <br /> YEAR TRUNK S -� '%� <br /> LATERAL �� <br /> �1•, -� u,_ <br /> TOTAL CONNECTION CHARGES S '�� '� '� <br /> SEWER PERMIT FEE S _ . ��'� ' / <br /> CATCH BASIN PERMIT FEE � _ <br /> TGTAL SEWER PERMIT FEES S �� <br /> (71 MON i HLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE ! <br /> APPROX. LUCATION OF SIDE SEWER OR TEE I�J THE MAIN: , <br /> CHART <br /> I <br /> INFOCOMPILED BY: DATE <br /> -�PPROVAL: DATE <br /> � <br /> ��: , I <br />