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AI:U Ct):1:111H1'1'Y :;I:H'✓J:CI;5 <br />• 13UI1,0111f; 1_Clt!1 ['I' T11r01;nn'rril 1 <br />' <br />a) !BUILDING P1311:1IT Ph.-H, <br />(A) PLAN CnCI; riiC <br />2) PLUMBING <br />3) MECHANICAL <br />4) !PATER SERVICL•' TO BE PAID BE?ORE BUILDING <br />PERMIT IS ISSUED . <br />(A) TO BE DETER14INED BY PLBG. INSP. INCH <br />(R) EXIST._ WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />CHART <br />5) D?IVETHAY PER;iIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED FT. D/hl (TYPE.) S <br />G) STATUS or Srimi CHARGES: TOTAL $ <br />BO\D DISTRICT FOOTArE* <br />41. <br />NOTES <br />I1 SEWER CONNECTI0N CHARGES <br />YEAR TRUNK $ <br />-LATERAL $ <br />TOTAL COiINECTI0:4 CIIARGE$ <br />1) !;0NT11LY SEWER CHARGES: <br />SWER CONSTRUCTION; <br />Sli'PER PER11IT FEE $ <br />CATCH BASIN P.EPUMIT rEE $ <br />TOTAL SEP!ER PElUiIT Fi3ES$ <br />TRU14K $ <br />•LATERAL $ <br />SEWER SERVICE <br />S_ <br />APPROX. LOCATION Or SIDE SMIM OR •TEE IN TIIE' I.1AIN:• ' <br />CHART <br />114PO COMPIMP HY: 6ATE <br />APPROvom: ___.. DATE <br />0 <br />I <br />0 <br />