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,. <br /> �� Q Q <br /> � <br /> ! �UILD! �VG PERMIT INFORMATION <br /> ADDRESS I�I �n IID��� I�L. S� TYPE <br /> (1) BUILDING PERMIT FEE S ����j� <br /> (A) PLAN CHF.CK FEE <br /> i <br /> (2) PLUMBING ���� ` <br /> (3) MECHANICAL �n� c� <br /> (4) WATER iERVICE TO BE PAID PRIOR TO E3UILDING PERMIT ISSUANCE (�-�� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR `�' �- �� INCH f� �..�-- <br /> (B) EXIST. WATER SERVICE, APPLICATION NU <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRiVEWAY PERMIT TO 8E PAID PRIOR TO BUILDING PERMIT IS• � � <br /> SUANCE FEET DRIVEWAY(TYPE) S � <br /> 3 <br /> p) STATUS OF SEWER CHARGES: <br /> BOND _ DISTRICT _ FOOTAGE <br /> K, S. �, �'�' , I <br /> NOTES <br /> � I � � "i�J � ���t� <br /> /-� � � <br /> ��-�� i <br /> ; <br /> SEWER CONNECTION CHARGES ab � <br /> YEAR TRUNK S J�� _ <br /> LAT�fRAL �'—��–c�� <br /> TOTAL CONNECTION CHARGES S _�,.�i.d,L <br /> ���' � <br /> SEWER FERMIT FEE s <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMII FEES S <br /> (7) MONTHLY 5[WER CHARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL <br /> SEWER 5E12VICE <br /> APPROX LOCATION OF 51DE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPIIED BY: DATE <br /> APPROVAL OATE <br /> ne> <br /> ___ .. <br /> •�..�.+ ^'„��' r'e'iq., _ . . . . ...__..... :7.� �A� - ��. <br />