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I3UILDING PER.ti�ii I� INFORMATION <br /> �DDRr55 � O � n� �3T/d h .T TYPE u G K <br /> (1) BUILDING PERM!T FEE �(�� N�L��� $ ��q��-=-_'�5�� � <br /> (A) PLhN CHECK FEE —��"i"-"— <br /> (2) PI_�MBING ��� � <br /> l3) MECHANiCAL �� <br /> (4) WATER SERVICE TO BE PAID PRIOR IO BUILDING PERMIT ISSUANCE «`� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR _ It�CH <br /> (B) EXIST. __ WATER SER� .CE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> _,_CHAP.T <br /> (5) DRIVEWAY P[RMIT TU BE PAID PRIOR TO BUILDING PERMIT IS- <br /> S'._;i+NCE FEET DRIVEWAY (TYPE) $ ��� <br /> S <br /> (7) STATUS OF SEWEk CHARGES: <br /> DONU DISTRICT FOOTAG[����� <br /> N, 5, E, W <br /> NOTES <br /> ��,�L u����y � � <br /> r�2� �i�i-�s' <br />� �l2 d ��Zfol.d� <br /> S� t�8$,� <br /> `1¢9- � <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK 5 <br /> LATERA� � <br /> TOTAL CONNECTION CHARGES $ <br /> �EWER PERMIT FEE $ ��� <br /> ----— <br /> CATCH BASIN F'ERMIT FEE - <br /> TOTAL SEWER PERMIT fEES $ �'�'_� �I <br /> I <br /> ;7) MONTHLY SEWER CHARGES: { <br /> SEWER CONSTRUCTION TRUCK $ � <br /> LATERAL <br /> SEWER SERVICE � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART -- <br /> INFO COMPIL[D BY: DATE <br /> APPROVAL: DATE — <br /> s e�� <br />