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1 <br />�J <br />BUILDING PERMIT INFORMATION <br />ADDRLSS ���� IOc'�12� � t�i TYPE <br />(1) BUIL.DING PERMIT FEE S 5gg �— <br />(A1 PLAN CHf.�.:K FEE — —�— <br />(21 PLUMBING — y <br />(3) P�ECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO E3UILDING PERMIT ISSUANCE —p—' — <br />(A) TO BE DETERMINED BV E3LOG INSPECTOR _ ItJCH IV---� <br />(8) EXIST WATER SERVICE, APPLICATION NO _. __ <br />(C) APPROX. LOCATION — <br />CHART <br />(5) DRIVLW�Y PERMIT TO B[ PAID PR�OR TO BUILDING PERMIT IS- � <br />SUANCE FEET DRIVEWAY(TYPE) S � <br />s � <br />(7) STATUS OF SEW[R CHARGES. <br />BUND DISTRICT _ FOOTAGE <br />N, S, C, W <br />NOTES <br />�-�fi�° <br />� DiSr <br />SEWER CONNECTION CHARCES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT fEE <br />TOTAL SEWER PERMIT FE[5 <br />p) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S <br />i <br />S <br />f <br />TRUCK s <br />LATCRAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN <br />INFO COMPILED BY. <br />APPROVAL ___ <br />5�84 <br />CHART <br />DATE <br />DATE <br />