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BUILDING PkRMi <br />I D Cv / Id %>T. 'J�• �, TYPE. <br />ADDRESS 00S _ 26)7` etl— <br />(1) BUILDING PERMIT FEE tQ0eW'0- Pow <br />(A) PLAN CHECK FEE 4-_ D b <br />(2) PLUMBING_ <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PE'✓RMI ISSUANCE <br />(A) TO BE DETERMINED WA BRBLDG IINSPECTOR <br />ATIO <br />(B) EXIST. l r T S <br />(C) APPROX. LOCATION <br />►� ��� oPou,a <br />C ► 0r 112,Zus- Se CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS - <br />DRIVEWAY (TYPE) O <br />SUANCE � 3 <br />(7) STATUS OF SEWER CHARGES: �$ FOOTAGE <br />BOND ._DISTRICT �— N S E, W <br />NOTES <br />SEWER CONNECTION CHARGES 3D? 50 <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES I <br />SEWER PERMIT FEE 05 _ <br />CATCH BASIN rERMIT FEE 610 <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />APPRUX LOCATION OF SIDESEWER OR TEE IN <br />INFO COMPILED BY: <br />APPROVAL: <br />9.1 79 <br />22 .s <br />TRUC7' $ 2 -7'r <br />LATERAL <br />k pc IIZ-rba <br />MAIN: <br />CHART 2 <br />DATE <br />DATE <br />