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BUILDING �'ERMIT INfURMATION <br />ADDRESS `r�5d7 7"/�on S.� _TY'E <br />(1) dUILDING PERMiT FEE b `�/�- y`- <br />(A) PLAN CHtCI: FEE a-/�. :5 —; S�' R�•�? <br />� �� �? �� --- <br />(2) PLUMBING �S �— <br />S�C " <br />(3) MECHANICAL — <br />(4) WATER SERVIC� TO B[ PAID PRIOR'�O BUILDING PERMIT i55UANCE � S�� �-_ <br />(q} TO BF UETFRMWED BY HIDG INSPECTOR ��</' —INCH <br />(B) EXI:iT. WATER SERVI�:E, APPLICATION NO. .__ <br />(C) APPROX LG�CATION _ <br />CHi\RT — <br />(5) DRIVEWAY PERMIT TO BE PAlD PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET _DRIVEWAY(1'YPE) 8 ZG `G <br />b <br />(7) STATUi OF SEWER CHARGES: <br />BOND �.—DISTRIC? FOOTAGE <br />N, 5, E, W <br />NOTES <br />C.�r� illl-YS•. <br />?S_ <br />y� I - <br />(n5G <br />/� SU <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK i � ���� <br />LATERAL �' c`S ro <br />� <br />TOTAL COMNECTION CHARCES b 7 r� �j_ <br />SEWER PERMIT FEE S 3� � <br />CATCH BASIN PERMiT FEE <br />TOTAL SEWER PERMIT FEES E ��"' <br />(71 MONTHLY SEWER CHARGES: <br />SEW.R CONSTRUCTION TRUCK 5 <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE rv1AiN: <br />INFO COMPILED BY: <br />APPROVAL: _ <br />s aa <br />CHART <br />DATE <br />DA7E <br />