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� <br /> [3UlLDING PERMIT INFORMATION <br /> , <br /> ADDRESS ��5 aTH % TYPE ���� � <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE ' " ���- <br /> (2) FLUMBING ��,,,� � � � <br /> (3) MECHAfvICAL �T �� � � <br /> (4) WATER SERVICE TO f3E PAID PRIOR TO BUILDING PERMIT ISSUANCF ��� <br /> (AJ TO BE DETERMINED flY dLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, nPPLICATION NO. <br /> (C) APPROX. LOCATION _ - <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE .FEET DRIVEWAY(TYPE) S ��5� <br /> $ <br /> (7) STATUS OF SEWER CHARGES: �����Q <br /> E30ND DISTRICT FOOTAGE <br /> N, S, [, W <br /> NOTES <br /> S��ptr UTILi '� �� <br /> Q,2r� �/?0-g5 <br /> Nv� i��9. ¢p <br /> h�� 3�a��a <br /> $ so� ir°a <br /> SEWER CONNECTION CHARGES <br /> YEAR ---' TRUNK $ <br /> LATERAL <br /> TOiAL CONNECTION CHARGES $ _ <br /> SEWER PERMIT FEE $ ��D� <br /> _—�- <br /> CATCH BASIN PERMIT FEE �.Ov <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> S[WER SERVItE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: _ <br /> CHAftT <br /> INFOCOMPILED DY: DATE <br /> APPROVAL: DATE <br /> 5 94 <br />