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�13CA <br />H <br />K Q <br />04 H <br />f/1 H <br />z �e <br />OH <br />�a 0 <br />H <br />Z y <br />�HH <br />y <br />gdCA <br />H O U) <br />J `� � <br />(GOlo✓k a.� <br />7 n�.r,� <br />i:., r',it Svc 60 <br />BUILDING PERMIT INFORMATION <br />ADDRESS -? 9l'(r "I Sf TYPE — <br />(1) BUILDING PERMIT FEE S <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) 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) S <br />S <br />(7) STATUS OF SEWER CHARGES: r'i _ "✓ <br />BONDl=—DISTRICT FOOTAGE <br />N, S,) E, W <br />NOTES <br />(I/vt o' I S2 <br />Sewer qao <br />55z <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />ID (7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />S <br />S <br />S 30 <br />S <br />CHART <br />DATE <br />DATE <br />Tier <br />