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BUILDING PERMIT INFORMATION <br />ADDRESS r1Z0 70p4 R,S'>✓' TYPESU�.- F4"u-t' Et'a <br />(1) BUILDING PERMIT FEE 4Z,6w'O`� <br />(A) PLAN CHECK FEE BO <br />(2) PLUMBING-- <br />(3) MECHANICAL Cg�-BU <br />(4) WATER SERVICE: TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BI.DG INSPECTOR ---k IN,-H <br />(B) EXIST. WATER SERVICE, APPLICATION NO _ <br />(C) APPROX LOCATION <br />CHART <br />(5) DRIVEWAY PI RMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- L �•/9U <br />SUANCE FEET DRIVEWAY(TYPE) $ <br />3 <br />(7) STATUS OF SEWER CHARGES. <br />BOND -M . DISTRICT FOOTAGE <br />NOTES <br />S r-FZJ ILLL WTUULT� rta= <br />4.;t,,0 <br />lZQ-00 <br />k7(.00 <br />t <br />N, S, E, W <br />SEWER CONNE TION CHARGES <br />YEAR _ 97 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES. <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN. <br />INFO COMPILED BY: <br />APPROVAL <br />$ Z X -00 <br />s 3C�•c9U <br />s 30.Ob <br />S <br />CHART <br />DATE <br />DATE <br />S ©•1 <br />