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BI� nLDIi�G PEf�N11T IN �O�Nl�TION <br /> ADDRE55 5��� �D � ��` h'�` TYPESi�t�6�N/�t-Y ��-5 <br /> (1) BUILDING PERI�AIT FEE� '�Q�Q� � � s�`Z ' �U <br /> (A) PLAN CHECK FEE ��g�C <br /> (2) PLUMBINC S�'� ' �� <br /> (3) MECHANICAL —Z�` '�� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �'� • �� <br /> (A) TO BE DE1 ERMYNED BY BLDG INSPECTOR INCH <br /> (B) EXIST. __ WATER SERVICE, APPL!CATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PF.IOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S 2�-�v <br /> S <br /> (7) 5TATU5 OF�WER CHARGES: <br /> BOND -�- DISTRICT __ FUOTAGE <br /> N, S, E, W <br /> NOTES <br /> ��/,0 L (�7�Gfio,Y�' �'�,� <br /> t�2.o </7!-g $ - <br /> '`�2 f� /7 9.C� <br /> S�2vE� ¢�l-e b <br /> � bb o . 6� <br /> SEWER CONN�CTION CHARGES <br /> YEAR �� TRUNK S �'��" �V <br /> � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S ��"�d <br /> SEWER PERMIT FEE $ ���� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S � '�� <br /> p) MONTHLY SEWER CHARGES: <br /> SEWER COIVSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COh1PILED BY: DATE <br /> APPROVAL: DATE <br /> 5•84 <br />