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ti_ ' `-�' <br /> BUILDING P�6tMS� � !NF01tMATION <br /> ADDRESS IC�. 0 °�J( I`�' T/�" �2 . j.C'" ._TYPE �[F-CLl(.� �7XN1tLY�t� <br /> (1) BUILDING PERMIT FEE �LOO �C�-� $ ��`'�` �� <br /> > r'o . �_� t'( •JS� <br /> (A) PLAN CHECK FEE <br /> �, c7 U <br /> (2) PLUM[31NG <br /> (3) MECHANICnL Z�� U� <br /> (4) �4'ATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �'�' �� <br /> fA) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATIOI� NO. <br /> (C) APPROX. LOCATION — <br /> CHART <br /> (5) DRIVEWAY PLRMIT TO RE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S �'��"E � <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND —�— DISTRICT FOOTAGE <br /> N, S, t, W <br /> NOTES <br /> �� �U GlZ<Lc�ry �Z— <br /> C72-� //7/ —�S ' <br /> /-ly0 1�4- � <br /> s�w�i'�- ��7.�c3v <br /> r�Co��'� <br /> SEWE2 CONNECTION CHARCES <br /> YEAR L�' _TRUNK S �3p"�U <br /> LATERAL — <br /> TOTAL CONNECTION CHARGES S -3 �j�� O U <br /> $ ��• � <br /> SEWER PERMIT FEE <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <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 COMPILED BY: DATE <br /> APPROVAL: DATE <br /> s sa <br />