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BUNLDR �I�G PE�11r111� Ih1F�RAq��'Ip� f� <br /> ADDRFSS __ ' TYPE5�N4GE r,deVj/[ ti/ IlC3, <br /> (1! BUILDING PtR1vtIT FE[�C�(p�2t�• r' � g �9S O v <br /> (A) PLAU CHECK FEE 5"�,7D <br /> (2) PLUMBING �D.Oa <br /> (3; MECHANICAL �3 � <br /> (4j WnTER S[RVICE T�l BE PAID PRIOR TO BUILDING P[RMIT ISSUANCE LEO.Q(� <br /> ;A) TO BE DETERMW[D f�Y BLbG INSPECTOR INCH <br /> (F3) EXIST. W�T[R 5[RVIC[, APPUCATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWA'i f'ERMIT TO BC PAID PRIOR TO dUILDING PERMIi IS- <br /> SUANCE __ _ FEET _ DRIVEWAY (TYPE) S 2Q.LJ (� <br /> g <br /> (7) STATUS OF SEWFR CHARGES: �I <br /> f30ND -�� DISTRIC7 FOOTAGE ' <br /> I <br /> N, S, E, W <br /> NOTES <br /> � <br /> D2o . !/�;-�S - <br /> l�l� � ��9-D� <br /> ��� 4 �l. 0 0 <br /> ��so, sa <br /> SEWER CONNECTION CHARG[5 <br /> YEAR 87 TRUNK S 3��•�Z� <br /> LATERAL ` <br /> TOTAL CONNECTION CHAftGES S 3vO.� <br /> SeW[R PERMIT FEE g 3O� �a � <br /> CATCH BAS'N P[RMIT FEE <br /> TOTAL SEWER PERMIT FEES � 3�•D� <br /> (7) MONTHLY SEWER CH�RGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL _ <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> -- CHART . <br /> INFO COMPILED �Y: DATE <br /> APPROVAL: DATE <br /> -;", <br />