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, <br /> r � <br /> ,_y�` ,✓ <br /> E3UILDING PERMIT INFORMATION <br /> ADDRESS _ _ TYPE <br /> (1) BUILDING PERM11 FEE S <br /> (A) PI.AN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �vO �'—' <br /> (A) TO B: DETERMINED BY E3LDG INSPECTOR INCFI <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION _ <br />� <br />� <br /> CHART_ <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOft TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S ��/ � <br /> S — <br /> (7) STATUS OF�ER CHARGES: <br /> 80ND ��— DISTRICT fOOTAGE <br /> N, S, E, W <br /> NOTES <br /> ��� �" c� ) �G'-� �Ai�e� l � 9 = <br /> � -e._�.� �/) / <br /> SEWER CONNECTION CHARGES <br /> YEAR _ TRUNK S __ 3 -3 v n <br /> SATERAL <br /> TOTAL CONNECTION CHARGES S �-%�� � <br /> SEWER PERMIT FEE $ 30 _ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S -�� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATfON OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED 8Y: DATE —..— <br /> APPROVAL: DATE <br /> 5 84 <br /> r <br />