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BUILDING PERMIT INFORMATION <br /> ADDRESS (oZ0 N4 P-) '5,BTN Pc. . S. TYPE _7jur�c c—r� <br /> (1) BUILDING PERMIT FEE Qo,000. q' b _373. oa <br /> (A) PLAN CHECK FEE _ <br /> (2) PLUMBING 32 -C9 O <br /> (3) MECHANICAL 4$ •Op <br /> (4) WATER SERVICL TO 13E PAID PRIOR TO BUILDING PERMIT ISSUANCE toy-,) <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR _ INCH M�7E7Z <br /> (B) EXIST. WATER SERVICE, APPLICATION t O <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET -- DRIVEWAY(TYPE) i '02©. DD <br /> b <br /> (7) STATUS OF SEWER CHARGES. <br /> BOND = DISTRICT FOOTAGE 70 <br /> N, S, E, W <br /> NOTES <br /> Z�uPc-� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK b <br /> LATERAL <br /> TOTAL CONNECTION CHARGES b _ D <br /> SEWER PERMIT FEE b <br /> CATCH BASIN PERMIT FEF. <br /> TOTAL SEWER PERMIT FEES b <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b _ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY. DATE <br /> APPROVAL DATE <br /> 5 84 <br />