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BUILDING PERMIT INFORMATION <br />ADDRESS (p�'���� r a r , _TYPE ►'t,Ld <br />(1) BUILDING PERMIT FEE gpiCb'O.00' S _s44.5� <br />(A) PLAN CHECK FEE i' <br />(2) PLUMBING Sdo. On <br />(3) MECHANICAL /Ole - Op _ <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S00- e9 l <br />(A) TO BE DETERMINED BY BLDG INSPECTOR I INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION Z F T " <br />010 AeL 4r" 1% _CHART W- 10-`l8- 5 <br />(S) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS - <br />DRIVEWAY (TYPE) $ for©D <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT -FOOTAGE <br />N, S, E, W <br />NOTES <br />S <br />SEWER CONNECTION CHARGES <br />YEAR 6�P TRUNK S u <br />LATERAL <br />TOTAL CONNECTION CHARGES S <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE 3 r� <br />TOTAL SEWER PERMIT FEES S <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: LA7 70 P/ Al�i1.¢Ox _ <br />I o mr L ezr•, �j A- c f�l`. • — <br />CHART <br />INFO COMPILED BY: DATE <br />APPROVAL: DATE <br />5-84 <br />