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� <br /> ' � , I, <br /> E� UILDIP� G PERA�91T_ N �iFOkM�T10N j <br /> � , <br /> i <br /> ADDRESS _TYPEs��li�-� I��t�r..Y Gt..''S I' <br /> (1) BUILDING PERMIT F[E �- 9,D00;(> O $ --���-"� <br /> (A) PLAN CHECK F[E �-��; , <br /> (2) PLUM[31NG ¢r✓' • G�� I <br /> (3) MECHANICAL _ 7z ��C�_ I! <br /> (4) W�TER S[RVICE TO f3E PAID PR10R TO BUILDING P �iIT ISSUANCE ___ G�-F i'� _ II <br /> (A) TO BE DETCRMINEfi 3Y BLDG INSPECTOR INC!-I <br /> (Ei) EXIST. .. WATER SEKVICE. APPLICATIUN NO. � <br /> (C) APPROX. LOCATION __ <br /> CHART <br /> (5) DRIVE�NAY PERIv11T TO f3[ P�ID PRIOR TO 13UILDING PERMIT IS- � <br /> SUANCE F[ET DRIVEWAY (TYPE) 5 �� -Ln(J_ <br /> $ <br /> (7) STATUS OF SEWFR CIiARGES: <br /> E3��ND -� DISTRICT FOOTAGE . <br /> N, S, E, W <br /> NOTES <br /> �,Q� !17/ -�5� <br /> �.�, o �z�, do � - . . <br /> s��� �= � � <br /> ���. �� <br /> SEWER CONNECTION CHARG�S I <br /> YEAR �7 TRUNK $ 330.D� <br /> LATERnL <br /> TOTAL CONNECTION CHARGES S _ .33�� �D <br /> SEWER PERMIT FEE g .J�•DD <br /> CATCH DASIN PERlv�IT FEE <br /> TnTAL SEWF.R PERMIT FEES $ �O�� <br /> (7) MONTHLY SEWER CHARGES: <br /> S[W[R CONSTRUCTION TRUCK $ <br /> ' LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO C7ti1PILED 8Y: DATE <br /> APPROVAL: DATE <br />' na� <br />