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BUILDING PERMIT INFORMATION <br /> /�DDRE55 �?� ��7 � R. � G. T1'PE 3�d <br /> (1) BUILDING PERMIT FEE �{�,I�,�,� s — '�d <br /> (A) PLAN CHECK FEE <br /> (2) PL�MBINC S'.�•00 <br /> (3) MECHANICAL -��� '�� <br /> (4) WATER SF.RVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _A��__ <br /> (A) TO BE dETtRMINED BY BLUG INSPECTOR � INCH <br /> (B) EXIST. _._ W�TER SE�iVICE, APPLICATION NO. <br /> (C) APPROX. LOC�TION - <br /> � CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PR�OR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEW1IY(TYPE) S 2�'�� <br /> S _ <br /> (7) STATUS OF SEWER CHARGES: <br /> BONO � D15TRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br />� ��a�. Cir►c,�� ,�'� <br /> DiC� //7l�- a.Y <br /> `,(f p � �z9. o0 <br /> 1 <br /> ��1�!'7Gt b'�eo <br /> SEWEFt CONNECTION CHARGES <br /> YEAR •r� TRUNK f 3�D•Bd <br /> L117ERI1L <br /> TOTAL CONNECTION CHARGES 3 ���-- <br /> SEWER PERMIT FEE s �'� <br /> �-- <br /> C/�TCH BASIN PF.RMIT FEE ��•� <br /> r TOTAL SEWER PERMIT FEES s <br /> (7) MONTHLY SEWER CH�IRGES: <br /> SEWER CON51'RUCTION TRUCK s <br /> UTERIIL <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 /> 5 B4 <br />