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I��` _ �; � 1 <br /> �� ` BUIL�lNC PEl�MIT I (V �ORMAT���! <br /> ADDRESS ��C1 � �C� J �2- `-c- TYFE I <br /> (1) BUILDWG PF.RMIT FEE $ ,��� So <br /> (A) PLAN CHECK FEE �, <br /> (2) PLUMDIMC `7J— <br /> (3) MECHANICAL l�� `� <br /> (4) WATER SERVICE TO [3E PAID PRIOR TO BUILDING PE IT ISSUANCE �� <br /> � l � a <br /> (A) TO 8E DETERMINED BY BLDG INSPECTOR `� LI _ INCH c� j <br /> (B) EXIST. WATER SERVICE, APPL:CATION NO. <br /> (C) APPROX. LOCATION <br /> CHART i <br /> (5) DRIVEWAY PEftMiT TO B[ PAID PRIOR TO BUILDING PERMIT IS- ptj I <br /> SUANCE FEET GRIVEWAY (TYPE) S � � <br /> S <br /> p) STATUS UF SEWER CHARGES: <br /> BOND ��L— DISTNICT FOOTAGE <br /> N, S, E, W <br /> ' NOTES <br /> � I� 1-S�� l � a� <br /> Ll� 1 �.,�> <br /> ��✓ <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S �J��oo <br /> LATERAL -�c� <br /> TOTAL CONNECTIQN CHARGES S ��J `�� <br /> SEWER PERMIT FEE $ '�� <br /> �ATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5� �"-- <br /> (7) MONTFiLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S — <br /> � LATERAL <br /> SEWER SEP.VICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CfiART <br /> INFO COMPILED DY: DATE <br /> APPROVAL: DATE <br /> f/8] <br /> YS.:F"'{� "p.c ."i.• -.mr':�.. -. . _ .. ..,. . ._.. .. ._'" ,,.; .. _.. :� - .. ._ ... <br />