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� �� `~� � <br /> , <br /> BUILD� NG PERMIT INF'ORMATION <br /> ADDRE55 � � � S?u A�E ���� iYPEs�'�4LE ��� � <br /> (1) BUILDING PERMIT FEE �IZ�OOC)•� $ SI�.� ' <br /> (A) PLAN CHECK FEE �SS.SO '. <br /> (2) PLUMBINC d-S•O ('j � <br /> (3) MECHANICAL `� 's� ' :� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE CDO•�� � <br /> (A) TO BE DETERMINED 8Y BLDG INSPECTOR INCH I <br /> (B) EXIST. WATER SERVICE, APPLICATION �!�7. <br /> (C) APPROX. LOCATION I <br /> CHART <br /> �"� <br /> (5) DRIVEWAY PERMIT f0 BE PAID PRIOR TO BUILDING PERMIT IS- I V' ' <br /> SUANCE FEET DRIVEWnY (TYPE) � 7�•�C� I <br /> _, <br /> j �� <br /> S <br /> (7) STATUS OF SEWER CHARGES: ' ` <br /> 80ND �-- DISTRICT FOOTAGE <br /> ,; <br /> N, S, E, W � <br /> NOTES • <br /> sPa�ra�- u-n��r� ��-- ' <br /> c�,eo tn�- � s- <br /> ,y2 a i-zq ,c� � �-- . <br /> ,,� <br /> �,� q-� i . c� n i <br /> � �DS � <br /> � � , SEWER CONN CTION CHARGES ' <br /> YEAR �7 TRUNK S ��b <br /> LATERAL �i <br /> TOTAL CONNECTION CHARGES S �'�D I <br /> SEWER PERMIT FEE g 3O• DD I <br /> �,:ATCH BASIN PERMIT FGE ' <br /> TOTAL SEWER PERMIT FEES S ��' � <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER f.ONSTRUCTION TRUCK � <br /> LATERAL <br /> SEWER SERVICE I <br /> APPROX. LOCATION OF SIDF SEWER OR TEE IN THE MAIN: ' <br /> CHART <br /> INFO COMPILED BY: — DATE <br /> APPROVAL: DATE <br />` s aa <br /> I <br />