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1 � l`�^�! f� <br /> BUILDING PERMIIT INFOI�MATION <br /> . <br /> Q� Z �ti �j <br /> ADDRESS o 1 ✓ � D �� TYPE ��N�-� �{���ls <br /> ' (1) BUfI_DINC PERMfT FEE ,�� � � ��S'S� <br /> (A) PLAN CHECK FE'c 2�'Q� <br /> (2) PLUMBING --(Q�"�n <br /> (3) MECHANICAL ---L�Z�a� <br /> (4) WATER SERVICE TO BE PAID PRIOk TO 6UILDING PERMIT ISSUANCE ��'� <br /> (n) TO BE DETERMINED BY BLDC INSPECTOR � INCH <br /> (B) EXIST. _ WATER SERVICE, APPLICATION NO. <br /> (Cl APPROX. LOCATION _ . <br /> CHART _ <br /> 15) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUlLDING PERMIT IS- <br /> SUANCE FEET DRIVEWnY (TYPE) S 2��OU <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> �l�C.. LlZ7Ll� / "" <br /> , �2� G17/- BS�' <br /> �2 � �`22�-, � <br /> �.+�'j,(�'1�'� �8`Z. Oc <br /> g i � .� <br /> SEWER CONNECTION CHARCES <br /> YEAR _ ��I TRUNK S 3�� �D <br /> LATERAL <br /> TOTAL CONNECTION CHARGES ,.-. S ���• d� <br /> � SEWER PERMIT FEE 5 ��'�� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S ��'�� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF 51DE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPP.OVAL: DATE <br /> 5 84 <br />