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� _ <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS `fn� - /���� n� -r� _T`i PE <br /> (1) BUILDING PERMIT FEF. f __y�,PAO <br /> (A) PUN C►{ECK FEE <br /> (2) PLUMDING yS� <br /> (3) MECH,INIG�L S,� ov <br /> (4) WATER SER\�IC.E TO Nti PAID PRIOR TO BUILDING PERMIT ISSUANCE �jlJ"' <br /> (A) TO Bf. DETERMINED BY BLDG INSPECTOR � c INCH <br /> (8) EXIST. _ WAT[R SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> _.� CHART _ <br /> (5) DRI�lEW�1Y PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br /> a <br /> SUANCE FEET _DRIVEWAY(TYPE) S Z p _ <br /> S <br /> p) STATUS OF SEWER CH�RGES. <br /> HOND �DISTRICT _ FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> �rD� ll7r-S5 .� l;� S-= <br /> c�a �e. �;9 <br />' Sewef `I�/ <br /> _— <br /> (�y d <br /> SEWER CONNECTION CHARGES <br /> o!. <br /> YEAR TRUNK S ___ 3.�— <br /> LATER1IL <br /> TOT/�L CONNECTION CH�RGFS S <br /> SEWER PERMIT FEE S <br /> ?d � <br /> CATCH BASI�I PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S _ <br /> (7) MONTHLY SEWER Cf1ARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DAl'E <br /> APPROVAL: DATE -- - <br /> �,a. <br />