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i U � <br /> � <br /> B� IJILDING PERMIT INFORMATION <br /> ADDRESS _TYPE <br /> (1) BUILDING PERMIT F[E 7 � ' 3 y �� �� <br /> (A) PLAN CHECK FEE �� -' ��" <br /> (2) PLUM8ING -r� °� <br /> (3) MECHANICAL 7a °� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE l0 D be <br /> (A) TO BE DETERMINED BY EILDG INSPECTOR 3/�l �� INCH <br /> (B) EXIST WATER SERVICE, APPUCATION NO <br /> (C) APPROX. I.00ATION <br /> CHARi <br /> (5) DRIVEWAY PEKA1IT TO BE PAID PRIOR TO E�UILDING PERMIT IS• <br /> SUANCE FEET DRIVEW/1Y(TYPE) S �D p� <br /> S <br /> (7) STATUS OF SEWER CHARGES. <br /> BOND _�� DISTRICT _ FOOTAGE <br />�"`` I N, S. E. W <br /> Y.. <br /> ik` NOTE 5 <br /> „, , <br /> ::'' � S� <br /> ';:; 11 �1 ' SS : J <br /> '` wu�1Pr � �9 °° IS �� <br /> Srwrr �17 � °` <br /> � ' (c50� <br /> `s.: <br /> f� <br /> `: SEWER CONNECTION fHARGES <br /> ,4r� , YEAR TRUNK E ✓��� <br /> LATEFAL <br /> TOTAL CONNECTION CHARGES S ?�3noa <br /> f:.;, <br />,,` i <br />�;, �, <br /> ' � SEVJER PERMIT FEE S 3 � P <br /> � <br /> - ' ' CA1CH EASIN PEkMIT FEE <br /> ^i � TOTAL SEWER PERMIT FEES E <br /> (i) MONTHLY SEWER CHARGES: <br /> ' SEWER CONSTRUCTION TRUCK b <br /> '{�' LATERAL <br /> SEWER SERVICE <br /> �I APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: - <br /> � I <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> ,�. <br /> ner <br />� <br />