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_TYPEy <br /> ADDRESS s <br /> (1) BUILDING PERMIT FEE �"715 0' <br /> (A) PLAN CHECK FEE 0�0 <br /> (2) PLUMBING — illz Z7 <br /> (3) MECHANICALoob <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINGG PERMI� ISSUANCE' INCH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR �]' <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) <br /> APPROX. LOCATION <br /> 2Fz �W " FIorCHART - 2� 4 <br /> !O� O <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING DRIVEWAYIT IS <br /> (TYPE) ,5C7 <br /> SUANCE gt-Q E T <br /> $ <br /> (7) STATUS OF SEWER CHARGES: FOOTAGE �— <br /> BOND S�DISTRICT N S E W <br /> NOTES <br /> OPS 4lo`)- S-o <br /> 22(• Oc7 <br /> SEWER CONNECTION CHARGES <br /> YEAR <br /> 8 j TRUNK $ <br /> LATERAL s /lD •00 <br /> TOTAL CONNECTION CHARGES / <br /> � a��° gl <br /> s <br /> SEWER PERMIT FEE — <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES <br /> (7) MONTHLY SEWER CHARLES: TRUCK <br /> s 0. 2a <br /> SEWER CONSTRUCTION LATERAL <br /> 5.l a <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> DATE <br /> INFO COMPILED BY: DATE <br /> APPROVAL: <br /> 91-19 <br />