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0 <br />BUILDING DI:PAKIMr:NT <br />13UIIJ)ING PERMIT INFOIlrWFION <br />TYPE <br />1) BUILDING PERMIT FEE <br />(A) PLAN LIM FEE <br />2) PIJFIBING <br />3) MBCNANICAL <br />4) WATER SEINICE TO BE PAID PRIOR 4O BUILDING PERMIT ISSUANC3 <br />(A) TO BE DEPEId+IINED BY PLBG INSPECTOR INCH <br />(B) E{IST. _WATER SERVICE, APPLICATION NO.__ — -- <br />(C) APPROX. LOCATION <br />CHART <br />5) DF1Vf3'TAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />i FEET D/W (TYPE) <br />-6) STATUS OF SWER CHARGES.' <br />BOND 11 DISTRICP FOOTAGE <br />N, Sr Fir <br />tx mrs , <br />���Q 5�� c •QUE:s 0 OGn l� 1�19 2D <br />$ <br />E <br />SEWER CONNF=ION CHARGES <br />YEAR 90 TRUNK <br />LATERAL. -- <br />TOT'AL CONNF)MON CHARCES <br />SEWER PFJiMIT FEE $ 9O• too <br />CATCH BASIN PERMIT FEE — <br />T07Ar. SEVIM PEMQT FEES $ 3 4 d <br />7) KxmlLY SF1%ym C1wrrs: <br />SIM .ft CPI <br />CONSTRUON: TRUNK $ g9 to S <br />LATERAL <br />SWER SERVICE M � <br />APPROX IACATION OF SIDE SL•1VF.R OR TEE- IN 711E MAIN: <br />CI TART <br />INFO COMPILED BY: <br />APPROVAL: <br />DATE <br />DATE <br />.I <br />