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r <br />i <br />V <br />BUILDING <br />�.J <br />PERMIT INFORMATION <br />� ^DDRESS �1r"J � Io�� ti2i" ,� �YYA � TYPE o0 <br />(1) BUILDING PERMIT FEE s <br />, (A) PLAN CHECK FEE �� <br />(2) PLUMBING ��� � <br />(3) MECHANICAL �� ��— <br />• (4) �YATER SERVICE TO E3E PAID PF.�OR TO BUILDING PERMIT ISSUANCE _ <br />(A) TO BE DETERMINED BY f�LDG INSPECTOR o2 �� __ INCH I3 5 <br />(B) EXIST. WATER SF.RVICE, APPLICATION NO. <br />(C) A?PROX. LOCATION <br />< < ' � <br />CHA{'T <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO 9UILDING PERMIT IS- <br />SUANCE � FEET DRIVEWAY(7YPE) S <br />` 1 ��� � __' <br />'; <br />ua : <br />� <br />(7) STATUS Of SEWER CHARGES. <br />BOND �—DISTRICT <br />NOTE� <br />1171�85 <br />fOOTAGE ��� <br />N, � E, W <br />?,c�l tQ� /L13�1. 5� <br />�tc.�� �Z�I. �15 <br />3"�, C� <br />0 <br />SEWER CONNECTION CHARGES � <br />TRUNK S � <br />YERR - <br />LATERAL <br />TOTAL CONNECTION CHARGES S ����� <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />, (7) MONTHLY SEWER CHARG[5: <br />' SEWER CONSTRUCTION <br />�; ' <br />TRUCK 5 <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED BY: <br />APPROVAL: <br />CHART <br />DATE <br />DATE <br />