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� � i <br /> BUILDING PERMIT INFORMATION <br /> ADDRE55 IO12Gi - /(. �i '�` .�� .�� TYPE <br /> (1) BUILDING PERMIT FEE b �c�'�? •�(`� <br /> (A) PLAN CHECK FEE _ <br /> (2) PLUMBING '-�5 . � n <br /> (3) MECHANICAL � , SO <br /> (4) WATER SERVICE TO BE PAID PRIOR TO RUILDING PERh11T ISSUANCE I(}. (7 1 <br /> (A) TO BE DETf.RMINED BY E�LDG INSPFCTOR INCH <br /> (B) FXIST WATER SERVICE APPLICATION NO i <br /> (C) APPROX LOCATION _ <br /> _CNART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS <br /> SUANCE FEET DRIVEWAY (TYPE) 3 Zn�D!'J <br /> 3 <br /> (7) STATUS OF SEWER CHARGES <br /> BOND �— DISTRICT FOOTAGE <br /> N, S, E, 1N <br /> NOTES <br /> G ��oC 1171- �5 ' � � <br /> Wa� e� 17�i. PO <br /> Sewer �171- cc <br /> �aSC� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK s _ 330, oG <br /> LATERAL <br /> TOTAL CONNEC i ION CHARGE S b _ 33r. (�i(') <br /> SEWER PERMIT F[[ b —�Q--�— <br /> CATCH BASIN PERMIT FEE <br /> TUTAL SEWER PERMIT FEES s 3c. dJ <br /> p1 MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S — <br /> LATERAL _ <br /> SEWER SERVICE -- <br /> APPROX LOCATION OF SIDE SEW[R OR TEE IN THE MAIN: <br /> CHART <br /> INFOCOMPILEDBY: DATE _ � <br /> I <br /> APPROVAL DATE II <br /> IiP1 <br />