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rr. <br />BUILD�ING PERMIX INfURMATION <br />ADDRE�S �—_ _TYP[✓/x.J/�G�_�� <br />(1) BUILDING PERMIT FEE ���iN,�' S _ �-�' � <br />(A) PIAN CHECK FEE — 7�' �5 <br />(2J PLUMBING �'�'� <br />(3) MECHANICAL —�� <br />(4) WATER SERVICE TO fif: PAID PRIOR TO [iUILDING Pf RMI ISSI�AKCE _��r�'t7� <br />(A) TO BE DETERMINED BY BLDG INSPFCTUR._�` INCH <br />(B) EXIST \YATER SERVICE, APPI.ICATION NO ___ <br />(C) APPROX. LOCATION __ <br />CHaRT __ <br />(5) DRIVEWAY PERMIT TO 8[ PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEW�Y(TYPE) S 2���� <br />3 <br />p) STATUS OF SEWER CHARGES <br />BOND �DISTRICT <br />NOTES <br />��.�C, �Llr�'� <br />�i2,o //7l- f3 S <br />y2D 2�,0� <br />�'�� � � � r oc7 <br />FOOTAGE _ <br />N. S, E, W <br />SFWER CONNECTION CHARGES <br />YEAR 87 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(71 MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />� 330. mZ� <br />b �r� <br />S ��• -�v _ <br />5 �. �� <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN TfiE MAIN: <br />INFO COMPILED BY: <br />APPROVAL ___ <br />'/P1 <br />CHART <br />UATE <br />DATE <br />e <br />