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I 1 . . . � <br /> � . • e lJ. '` : <br /> BUILDING PERII�IITi INFORMATION , <br /> /�DDRESS �s'1sL_S "�.�TN� /-�VE �•C• TYPE ����, G �/Lf�dl�z <br /> (1) BUILDING PERMIT FEE rP(/�.�•� 5 `�'�3•� <br /> (A;1 PLAN CHFCK FEE <br /> �2) FLUMBING SS�Ba _ <br /> ' (3) MECHANICA! ' <br /> !4) '��'ftTER SERViCE TO BE PAID PRIOR TO BUILDING NERM T ISSUANCE _ �'�Q <br /> (A) TO B� DETERMINED BY BLDG INSPECTOR _� INCH <br /> (B) EXIST. WATER SERVICE, APPLICA?IJN 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 _�'Bv <br /> S <br /> (7) STATUS Oi SEWER ChiARGES: <br /> BOND �r DISTRICT FOOTAGE <br /> N, S. E, W <br /> NOTES <br /> 6�i,d c, GIT'LI7y �' <br /> or1,o 1/7/-�6� <br /> Ffyt� tzq. 00 <br /> h�� ���d� <br /> I SEWER CONNECTION CHARGES �,,/� I <br /> i YEAR �� TRUNK 3 �✓�%��•�b <br /> �^ <br /> � LATERAL — <br /> TOTAL CONNECTION CHARGES b �J�D�DD <br /> SEWER PERMIT FEE b �" ' , ;��� <br /> �- <br /> CATCH BASIN PERMIT FEE �,�^1 <br /> TOTAL SEWER PERM�T FEES b �/'�a ' <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK E <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ___ <br /> CHART_ <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 5•84 • - <br /> -.r-...,.,. . . .. . _ ....... ._ ..�. . � . - <br /> � . . . .,. . . ... . .., .. ..., <br />