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r-• - <br /> � i <br /> B �11LD1 (�;G �ERIv11T IN �Of�:MAT�ON <br /> ADDRESS _ _TYPE ---.---.. <br /> (1) BUILDIN� PERMIT FEE ��i ��'J $ -- �8��' e� - <br /> (A) PLAN CHECK FEE -- '"—`'''�' �`� �`�� <br /> (2) PLUMBING __ 2D .Da <br /> (3) M[CHANICAL �22� S�b <br /> (4) WATER SEkVICE TO BE PAID PRIOR TO BUILDING PERIv11T ISSUANCE ��' av <br /> (A) TO BE DETERMINED BY �LDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (�) APPROX. LOG�TION <br /> CHART <br /> (5) DRIVEWAY PER <br /> MIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY (TYPE) a 2o�d� <br /> S <br /> (7) STATUS OF SEINER CHARGES: <br /> BOND � DISTRICT FOOTAGE <br /> Pd, 5, E, W <br /> NOTES <br /> Lo7'S I - q Lo7�5 !o- 2E3 <br /> ��NOZL - 27D.0(� "Pa9�� TS - No GH�C�4� <br /> n r'.�O I 1"11- S�s <br /> O/zv /l71' 85 µ-Zv Ou�'f <br /> �552- 8�''.� l52- �' 2d.� <br />� SEWER CONNECTION CHARGES <br />� YEAR 8 � TRUNK S <br /> i LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE g �O•Da <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ — 3�rp� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LGCATION OF SIDE SEWER OR TE�E IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: _ _ DATE <br /> APPROVAL: DATE <br /> 5•84 <br />