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i <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS �f�Q1i'��L I ` LTJ TYI'L <br /> (1) BUILDING PERMIT FEE $ ': JL) <br /> (A) PLAN CHECK FEE `I `I 'I 3 <br /> (2) PLUMBING CIL)-- <br /> (3) MECHANICAL — ) / 7, 0 () <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE (pOH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR ___I INCH <br /> (8) EXIST. WATER SERVICE, APPLICATION NO <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS <br /> SUANCE FEET --DRIVEWAY(TYPE) $ <br /> S <br /> (7) STATUS OF SEWER CHARGES. <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> O Tr a A A,.n-�_ <br /> j>NI.Va A t zG I 7 <br /> 9•ao <br /> 5 ewer (o d _ I;z (4•45 <br /> 441KIWOAAA -330 <br /> SEWER CONNECTION CHARGES ?j Q o0 <br /> YEAR TRUNK b <br /> LATERAL CIO <br /> TOTAL CONNECTION CHARGES 3 _-3-3-0 <br /> SEWER PERMIT FEE S �� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 3 — <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 /> Pa? <br />