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f3Ull.DIN� PERMIT INFORMATION <br /> ADDRESS �Z�C��7 � � �-► ✓T'r• S•E • TYPEs � ���-� ��+-Y IZS <br /> (1) BUILDING PERMIT FEE �����d� • � g ��u4 •SO <br /> (A) PLAN CHECK Ff_E PG� . � S�ua-3Z <br /> (2) PLUMBING SS�D-O <br /> (.3) MECHANICAL �3 . 0 C7 <br /> (4) WATER SERVICE TO f3E PAID PRIOR TO BUILDING�IT IS�UANCE ��' � <br /> (A) TO BE DETERMINED BY f3LDG INSPECTOR ��- INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART _ <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR 70 BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) � ZO�DO <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> 80ND -� DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES � <br /> S�a� u-C[l,�'tv�#� <br /> �aea. l l7/—g_s— <br /> !�2 t� �`!?Q.�''- . ; . <br /> _ ��.04= ��-�� • = � - <br /> ` � t�so .� <br /> SE�NER CONNECTION CH�RGES <br /> YEAR � � TRUNK S 33O-�U <br /> LATERAL <br /> ' TOTAL CONNECTION CHARGES S 3 �.8� <br /> SEWER PERMIT FEE $ � '�� <br /> , CATCH BASIN PERMIT.FEE <br /> TOTAL SEWER PERMIT FEES $ � •� <br /> (7) MONTIiLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TFUCK $ — <br /> LATERAL <br /> SEbVER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILEU EIY: DATE <br /> APPROVAL: DATE <br /> s�sa <br />� . <br />