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�. <br /> � . <br /> l�% `� <br />' � BUILL7IN� PERN11�" INF0�149A1�ION ;;� <br /> i � � �� � ;��� <br /> I ' `;'� <br /> AODRESS S/�q - /.5�� ,�n.a. („4,) TYPE <br /> (1) BUIL[JING PERMIT FEE g S�I� <br /> (A) PLAN CNECK FEE I Sn <br /> N7 <br /> l <br /> (2) PLUMBING �0 U m <br /> (3) MECHANICAL ' � "`y <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �� �� I �s� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR `� INCFi <br /> (B) EXIST. __ WATER SERVICE, APPLICATION NO. <br /> (Ci APPROX. LOCATION s� r� <br /> �� , �� <br /> CHART I '� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- I �ia' <br /> SUANCE FEET DRIVEWAY (TYPE) S aD� ' `'?" <br /> $ <br /> (7) STATUS OF SEWER CHARGES: .� - <br /> BOND � DISTRICT . FOOTAGE ____ ' <br /> �to ��, uLio � /� 1''i' k� rv, s, E, w <br /> NOTES <br /> I� �I - �`S ` <br /> wakr l � �j <br /> Set,v'er 4� 1 <br /> ._� <br /> ; � sa <br /> , <br /> � <br /> SEWER CONNECTION CHARGES <br /> YEAR TR^i^1�NK ti a 7(`) °� <br /> ✓Yl Ly' <br /> LATERAL <br /> � TOTP.L CONNECTION CHARGES 5 02.'� <br /> � -- <br /> SEWER PERMIT FEE S 3C� � <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S 3� <br /> i�) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDF SEWER OR TEE IN THE MAIN: ._ <br /> CHART <br /> INFU COMPILED BY: DATE <br /> APPROVAL: DATE <br /> ne� <br />���� ����e� <br />