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� <br /> �� <br /> � � ' �.� � �� �� �� �� � � �������I� � ; i <br /> � ; <br /> i <br /> ADDRESS /Og// /(�� Di '�� FI/�i�f� /�iA TYPE _ , i <br /> (1) BUILDING PERMIT FEE g �� , j = <br /> (A) PLAN CHECK FFE — i <br /> (2) PLUMBING (�j��� I <br /> (3J MECHANICAL ���,�-- � <br /> (4) WATER SERVICE TO BE PAID PRIOR TO I�UILDING PER1�11T ISSUANCE ��/� �� <br /> �� -�-'Sp I <br /> (A) TO BE DETFRMINED BY BI.DG 1NSPECTOR �� RJCH <br /> (B) FXIST _ WATFR SERVICE, APPLICATION NO. I <br /> (C) APPROX. LOCATION I <br /> i �, <br /> CHART ( I <br /> (�) DRIVEWAI' PERMII TO B[ PAID PRIOR TO BUIiDiNG PER��IT IS- � �� j 'I <br /> SUANCE FEET DRIV[WAY (TY'PE) $ _ ��C�� � <br /> $ _ ' II <br /> (7) STATUS OF SEWER CHARGES: I <br /> BOND � DISTRICT FOOTAGE � <br /> N, S, E, W ' <br /> NOTES <br /> l l�l I-�t5 l�.'��.9 1?�� i <br />� SG,t.I��" �l'1 l `'� I <br /> `�o� � <br /> � <br /> � <br /> � <br /> 4 ' <br /> � <br /> � <br /> SEWER CONNECTIUN CHARGES �� ' <br /> YEAR TRUNK $ �'_��� <br /> LATEZAL <br /> �- <br /> TOTAL CONNECTIO�! CHARGES � _ ���JC��` ', <br /> � --- I <br /> SEWER PERMIT FEE S .�-� I <br /> CATCH BASIN P[RMIT FFE <br /> TOTAL SEWER PERMIT FEES $ c��`��" <br /> i <br /> (7) MONTHLY SE1h'ER CHARGES: � <br /> SEWER CONSTRUCTION TRUCK � _ I <br /> LATERAL <br /> 5[WER SFRVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: I <br /> I <br /> CHART __ � <br /> INFO COMPILED BY: DATE <br /> RPPROVf.L DATE _ <br /> I <br /> i <br /> i <br /> ,. II <br />