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� <br /> _ �:� , <br /> BUILDING PERMIT iNFORMATION <br /> ADDRESS II�1�� �11 'td� 'I � � �~- TYPE <br /> ��� <br /> (1) BUILDING PERMIT FEE � � �'� � <br /> (A) PLAN CHECK FEE `�I —' <br /> (2) PLUMBING �1`� � <br /> (3) MECHANICAL '� �� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER�I� I�SSUANCE �'CJ <br /> (A) TO BE UETERMINED HY [3LDG INSPFCTOR `� - � INCN I � �U <br /> (B) EXIST. WAT[R SERVICE, APPLICATION NO <br /> (C) APPROX I.00�TION <br /> CHART __ <br /> (5) DRIVEWAY PERMIT i0 B[ PAID PRIOR 10 UUII.DING PERMIT IS- � � <br /> SUANCE FEET DRIVEWAY(TYPE) S � <br /> S LD��� � <br /> (7) STATUS OF SEWf.R CHARGES <br /> BOND �— DISTRICT _ FOOTAGE _ <br /> N, 5. E, W <br /> NOTES <br /> I1 � 1-85 ��q� i�YIJ�!� <br /> `.� �2LU�/U , <br /> I <br /> SEWER CONNECTION CHARGES <br /> YEAR _ TRUNK 3 ��•��� <br /> LATERAL � i <br /> TOTAL CONNECTION CHARGES S c���� - <br /> ,�cU I <br /> SEWER PERMIT FEE S — <br /> CATCH BASIN PERMIT FEE "— <br /> TOTAL SEWER PERMIT FEES S __.��---��— <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUI"TION TRUCK S <br /> LATERAL <br /> S[WER S[RVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> _ CHART <br /> INFOCOMPILED BY <br /> DATE <br /> APPROVAL. DATE <br /> rmr <br /> ..... ...�...,. .. . . . . . , . <br />