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i�i � � �.r n i� • �- • <br /> 2 �� . /�_ TYPE ��---_ <br /> ADDRESS g 2 -''�' ��' <br /> ��� ' p�, � 5��s3 <br /> , -> > <br /> (1) BUILDING PERMIT FEE ' �� <br /> (q) PLAN CHECK FEE i �',• c�o <br /> (2) PLUMBING � �� , �� I <br /> —�3y..; � v I <br /> (3) MECHANICAL ���y <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM�ANCH � �� � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR_� <br /> (B) EXIST. WATER SERVICE, P.PPLICATION NO. i <br /> €�clw (C) <br /> APPROX. LOCATION �' � � � M""`' �'��`2 � 2� r�w U~ <br /> hw <br /> � {��..,,_. S-� CHART �-� � <br /> (5) DRIVEWAY PERMIl TO BE PAID PRIOR TO BUILDII�G PF.f�MIT IS- ��_ <br /> � FEET � P'`'`�`�'� URIVE�VAY(TYPE) $ J�D. Sv <br /> SUANCE $ <br /> (7) STATUS OF SEWFR CHARGES: FOOTAGE < <�—'� <br /> BOND _.---��STRICT <br /> N, 5, E, '� <br /> NOTES <br /> /��..�7J �- <br /> c9�0 7! �-�� <br /> �� 2(� � a <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATEKAL <br /> TOTAL CONNECTION CHARGES � <br /> $ .���- O C� <br /> ScWER PERMIT FEE �� <br /> CATCH BASIN PERMIT FEE $ �� �� <br /> TOTAL SEVt�ER PERMIT FEES <br /> (7) MONTHLY SEWER CHARCES: TRUCK $ � <br /> SEWER CONSTRUCTION LATERAL � <br /> _� <br /> SEWER SERVICE ��. hn � ' a� ��-� <br /> APPROX. LOCATION �F SIDE SEWER OR 7EE IN THE MrAI�: � �� oF i;�_�l `�- . <br /> �s r-- <br /> �t ,.� _ I�-7 �'1-S <br /> l�-�« ` CHART - <br /> �/�pp� 9 "i �- �rz� <br /> DATE <br /> INFO COMPILED BY: DATE <br /> qpPROVAL: <br /> 9.1•79 <br />