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� <br />[3UILDIR�C PEFt11AIT INFORMATION <br />ADDRESS <br />TYPE S� r•,u1� �'Ar�.t�L � <br />(1) BUILDING PERM�T FEF ���} ��• �� S S4�y.S'Z� <br />(n) PLAN CHFCK FEE 2q �Z'�� <br />(2) PLUMBING �S'�� <br />(3) MECHANICAL z2'� � <br />(4) WATER SFRVICE TO L3E PF.ID PRIOR TO BUILDING PERMIT ISSUANCE � �'E� <br />(A) TO BE DE7ERMINED BY BLDG INSFECTOR �-� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. �OCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO 8E PAID PRfOR TO BUILDING PERMIT 15- <br />SU�NCE FEET DR;VEWnY(TYPE) S 2�'0� <br />S <br />(7) STATUS �F SEWER CHARGES: <br />BONC� � DISTRICT _ <br />NUT�S <br />`—��� l� c� �-�- � �f� <br />Qp� I,IZI-8S <br />612� z2� •oo <br />.Si�J� �� '�b <br />U <br />��j13.a <br />FOOTAGE . <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR _��� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEbvER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />$ 330 -C90 <br />$ 330. � � <br />g �C9-�Tl <br />�� <br />s �o• � - <br />TRUCK $ <br />LATERAL <br />SEWER S[RVICE <br />APPROX. LOCATION OF 5lDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL <br />s ea <br />CHART <br />DATE <br />DATE <br />