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b,y� /"�'", <br /> � �11LDING PERMIT INFORMATION <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT FFE 5 __ �l6 $f. L� <br /> (A) PLAN CHECK FEE _ _ <br /> (2) PLUMBING `IS �� <br /> (3) MECHANICAL 5�I `� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO L�UILDING PERMIT ISSUANCE /0 � a <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � ' INCH <br /> (B) EXIST WATER SERVICE, APPLICATION NO. <br /> (C) APPRI�X IOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY (TYPE) 5 <br /> ;' 0 �' <br /> b <br /> p) STATUS OF SEWER CHARGES: , <br /> BOND �nISTRICT FOOTAGE _ I <br /> N, S, E, W I <br /> NOTES <br /> �/ na illl � � . <br /> L J' <br /> (�(JQ �! f I ��� <br /> $ PW�f Ul � <br /> �Oi� <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK 3 <br /> ;;,�5 �a <br /> LATERAL <br /> TOTAL C(�NNECTI�iN CHARGES 3 <br /> . rn <br /> SEWER PERMIT FEE S �;� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SI:VJER PERMIT FEES b — <br /> (7) h10NTHLY SEWER CHARGES <br /> SEWER COh57RUCTION TRUCK b <br /> LATERAL <br /> SEWER SER�/ICE <br /> APPROX LOCATION OF SIUE SEWER OR TEE IN THE MAIN: — � <br /> _ I <br /> CHART _ <br /> INFOCOMPILEDHY __ DATE <br /> APPROVAL nATE — <br /> I <br /> ner <br />