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r <br /> i <br /> � .. I <br /> , �,� _ <br /> � lJILD6NG PERR�i1Ti IN �OItIiAAT� �f�l �� <br />� <br /> � � <br /> � i <br /> ADDRESS ��T U �I �(JT/-; Z�. �•� � TYPE . ��•u t� .o.'t'�: �f� <br /> (1) 13UILDINC PERMIT FEE `D��' � S �3' B� I <br /> (A) PLAN CHECK fEE p/�• � 74�� <br /> (2) PLUMBINC -- 2'�' �� <br /> (3) MECHANICAL 2�' dD <br /> (4) WATER SERVICE TO BE PAID PRiOR TO BUILDING PERMIT iSSUANCE _ �o'�� <br /> • (A) TO BE DETERMINED BY BLDG INSPECTOR _�� INCH I <br /> (B) EXlST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION bT7.IFStbeo TD PIL .pP1�lL.6C S '�7 <br /> (� OF �w Go(�. Ol� �TCHART L�- (S-ZB�Sr <br /> (5) DRIVEWAY PERMIT TC, B[ PAID f'RIOR TO [3UILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY (TYPE) � 2O •!9U <br /> • S <br /> (7) STATU� OF SEWER CHARGES: <br />'� <br /> � 90ND �' — DISTRICT FOOTAGr _ <br />' _ N, S. E, W <br /> NOTES <br /> s�� �w� �� <br /> z�,2.r� �l7�- 8s <br /> yya - i�y.00 <br /> ��y . �h�. v t� , <br /> � ��, ,o� <br /> SEWER CONNECTION CHARCES <br /> Y[AR �� T�UNK S �3�'�� <br /> LATERAL <br /> TOTAL CCnJNECTION CHARGES S -����� <br /> SEWER PERMIT FEE $ ��'�� <br /> CnTCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES g 3O•DD <br /> (7) MONiHLY SEWER CHARGES: <br /> SEWER CONSTRUCTIUN TRUCK $ <br /> LATERAL <br /> SEWER SERVICE �l � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �7� �P�7.� Ta �'��' <br /> ,�,�nx 3� ►--r- S vF M U 6� �x �5' �- <br /> 'b-�'��� ��(�. CHART "��ZB- S <br /> INFO COMPILED BY: _ DnTE <br /> APPROVAL: _ _ DATE <br /> s an I <br /> I <br /> �..��� <br />