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�v1LI��NG PERII�IIIT lNFORIl�6AT�ON <br />ADDRESS TYPE :/!�l/!tL[i �tGY � <br />(1) BUILDING PERMIT FEE l�.D��•� $ �•DO <br />(A) PLAN CHECK FEE <br />(2) PlUME31NG <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(Aj TO BE DETERMINED �Y BLDG INSPECTOR INCH <br />(B) EXIST WATER SERVICE, APPLICA�iION NO. _ <br />(C) APPROX.I.00ATION <br />rJ' � � <br />33. �D � <br />�Q•0� I <br />CHART <br />(5) DftIVEWAY PERMI7 TO BE PAID PRI�R TO BUILDING PERMIT IS- .� a <br />SUANCE FEET DRIVEWAY(TYPE) � !�O-�(/ <br />� <br />(7) STATUS OF SEWFR CHARGES: <br />BOND . � DISTRICT <br />NOTES <br />=�1�L U?7'�Tl' rGC <br />e'%—� �!7/—� S— <br />�2� /7�. �o <br />s� ¢��� d <br />(f��wV ✓ <br />FOOTAGE <br />N, S, E, W <br />SEWER CONN CTION CHP.RCES <br />YEAR � , TRUNK <br />—� <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT fEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S ✓��� <br />g, �%� <br />S •0� <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWEk OR TEE IN THE MAIN: <br />INFO COMPILEU BY: <br />APPROVAL: <br />CHART <br />DATE <br />DATE <br />