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BUILDING PERMIT INFORMATION <br /> ADDRESS _TYPE _ � <br /> 5 ' <br /> (1) BUILDIi�G PERMIT FEE • <br /> (A) PLAN CHECK FEE Iv/�3o� A'rp t '1S�l3�' v- /`l� 'i9 n„ �,p„��l_/4Gi•� 5 '� �fi�� <br /> l 0 `� <br /> (1) PLUMBING � <br /> (3) MECHANICAL �� 3 'D <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDInG PERMIT ISSUANCE � ��— <br /> (A) TO BE DETERMIN[D 8Y ULDG INSPECTOR � `-� �� INCH <br /> (8) EXIST. WATER SEr�VICF., APPUCATION NO. <br /> (C) APPRUX. LOCATION <br /> CHART <br /> (5) DRIVEWAY P[RMIT TO 13E PAID PRIOR TO tiUILUING PERMIT IS- 2a n I <br /> SUANCE FEE7 DRIVEWAY(TYPE) S <br /> S _ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES 3 S� I <br /> G r ol 1 I 1 I'�.5 ; J .s � �� <br /> Wq'I� � l79 , <br /> Srw�r N�i <br /> (v5 0 <br /> i <br /> ; <br /> SEWER CONNECTION CHARGES �3Q eo <br /> YEAR TRUNK S <br /> LATERAL 3 3n g,� <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S .3D ' <br /> CATCH DASIN P[RMIT FEE ' <br /> TOTAL SEWER PERMIT FE[5 S <br /> p) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRJCTION TRUCK s <br /> ' i <br /> LATERAL <br /> SEWER SERVICE <br /> AFPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: � <br /> CHART_ <br /> INFOCOMPILED UY: DATE <br /> APPROVAL: DATE <br /> s en <br />