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�� � . <br /> BUILDING PERMIT INFORMATION <br /> � I�� <br /> ADDRESS I�)JI IIC)� I� S� TYPE � <br /> (1) BUILDINC PERMIT FEE S 'L���`— <br /> (A) PLAN CHECK FEE <br /> (2) FLUM8ING yJ � <br /> (3) MECHANICAL � <br /> ' (4) WATER SERVICE TO BE PAID PRIOR Tl7 DUILDING PE IT ISSUANCE ��� <br /> (A) TO BE DETERMINEC� BY BLDG INSPECTOR � �� INCH ` � `'� <br /> : (B; EXIST. WAT[� SERVICE, APPLICATION NO. _ <br /> � (Q APPROX. LOCATION <br /> I <br /> � CHART <br /> i (5) DRIVEWAY PERMIT TO B[ PAID PRIOR TO BUILDING PERMIT IS• nn i <br /> SUANCE _ —FEET DRIVEWAY(TYPE) S � � I <br /> I 3 — I <br /> I (7J STATUS OF SEWER CHARGES: <br /> '� 80ND �- DISTRICT FOOiAGE _ <br /> I N, 5, E, W <br /> ' NOTES <br /> 1 � � � �-OJ � �� �� I <br />.''� { �� <br />�= I �� <br />�' ,� , <br /> � <br />��� a � <br />�� 'i <br />' !I SEWER CONNECTION CHARGES <br /> '� YEAR TRUNK S 3�� <br /> C, � <br />� ; LATERAL — <br /> � <br /> i � TOTAL CONNECTION CHARGES S _ �����" <br /> C: , c�c�. <br /> SEWER PERMIT FEE S �� li <br /> �; CATCH 6ASIN PERMIT FEE �— I <br /> TOTAL SEWER PERMIT FEES S � <br /> ,' , <br />, ' (7) MONTHLY SEWER CHARGES: <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: DATE <br /> + APPROVAL: DnTE <br /> w' <br /> rnr <br /> s.�m.a�wvns,.we•arr.�.,�r:. ...._..-...,, . ..._ _�.,. . . . _ .. .. . _ ... �. .�.._ .. . _. ,_.. . . • ..: . . . _�.:.,. <br />