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� . <br /> BUILDING PERMIT INFORb1AT10N <br /> A.DORESS <br /> TYPE 5��..�tat���r. C.�S <br /> (�) BUILDING PERMIT FEE S� OL��O- e� b .�2QS',. Dp <br /> (A) PLAN CHECK FEE 3( .Zp a n�� <br /> (2) PLUMdING 2���� <br /> 1,3. S � <br /> (3) MECHANICAL �� _�� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDf��G PERMIT ISSUANCE <br /> (A) TO BE DETERMINF.D E�Y f3LDC INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C1 APPROX. LUCATION <br /> CHART -- <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ZQ O� <br /> SUANCE FEET DRIVEWAY(TYPE) 3 <br /> . $ — <br /> (7) STAT�JS OF SEWER CHARGES: <br /> BOND �-�- DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> S f'r.z�t�.c.., S�.v(� '��5 <br /> d� ll�f—F3S� <br /> s i�tc�.c.� �-s��"- <br /> �z p I?R, or7 <br /> ¢� i .cs-o <br /> 5�w� .�-� ` <br /> � �Sp �p4ER CONNECTION CHARGES �3� . �U <br /> YEAR S � TRUNK $ <br /> LATERAL 3��. �� - <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ � � � v <br /> CATCH BASI?J PERMIT FEE �� <br /> TOTAL SEVVER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: b <br /> SEWER CONSTRUCTION TRUCK <br /> LATERAL <br /> SEWER SERVICE • <br /> APPROX. LOCATION Of SIDE SEWER OR TEE IN THE MAIN: —�— <br /> CHART <br /> INFO COMFILED BY: DATE <br /> DATE <br /> APPROVAL: <br /> s aa <br />