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f� %���) <br />� `•� <br />BUlLDING PiERMIT INFOR141AT10�1 <br />ADDRESS ___ _TYPE �t�UC�� ���/�-�5 <br />(1) BUILDING PERMIT FEE � G���Q�. � g .�,�Z, O O <br />(A) PLAN CHECK FEE _ P�•� g�3�7 <br />(2) PLUMBING ��'.� � �� <br />(3) MECHANICAL � �• � <br />(4) WATER SERVICE TO BE PAID PRIOR TO DUILDING PERIv11T ISSUANCE LG�-/.�!� <br />(A� TO BE DETCP.MINED BY DLDG INSPECTOR INCH <br />(B) EXIST. 4VAiER SERVICE, APPLICATION NO. <br />(C) APPRQX. LOCATION _ <br />CHART <br />(5) DRIVEWAY PERMIT TO B[ PP.ID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) 4 ��'�v _ <br />S <br />(7) STATUS OF SEWER CHARGES: <br />80ND � DISTRICT <br />NOTES <br />`Jl��r!/�L �7'lLiTc� ��C_. <br />FOOTAGE <br />N, S, [, W <br />G72p / i � /— � �,` <br />l��a /79•OD <br />�j�.�2 (�7/.DG <br />����EWER CONNEC�I7N CHARGES <br />YEAR �-� TRUNK <br />LATERAL <br />TOTAL CONPJECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />S[WER CONSTRUCTION <br />0 <br />� ���D,Oa <br />g � .�O <br />TRUCK S <br />LATERAL <br />� � SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMFILED BY: <br />APPROVAL: <br />CHART <br />DATE <br />DAT[ <br />