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ilia I III-,L:lt ING AI:U ('O:I:•IUI11'I'Y. ';I-llVlclZ <br />113UIi.D111G 1'1:1:!1't'C _iill'()I:IIA'I`1'�l[I , <br />1) BUILDING PER:= FEL �j-��Yr�-�, OD. <br />(A) PLAN CIIECK rBE <br />2) •PLUMBING <br />3) MECHANICAL <br />•4) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERFIIT IS ISSU!:D 1 <br />(A) TO DE DL•-TL•'RIMIrD BY PLBG. INSP. <br />(ni EXIST._ ' Nn n SERVIc", 'PPL. N0. T— <br />$- IV , oc-___ <br />$ ;4) <br />(C) APPROX. LOCATION <br />CHART <br />L,fS JL- 14AJ1��r <br />5) DRIVEWAY PERIIIT TO DE PAID BEFOR • BUILDING <br />PEMSIT IS ISSUED �_FT • P 1�- D�11 (TYPE) <br />6) STATUS OF SE(JL'R CIInRCL'S: <br />TOTAL <br />Bb4t) DISTRICT FOOTAGE. <br />N, Sr E, 41. <br />SEWER CONNECTION CRAPIVES <br />NOTES <br />YEAR = TRUNK <br />LATERAL $ <br />TOTAL CONNECTION CHARGE$_ <br />SI:';'ER PER'1IT FEE <br />CATCH BASIN REMIT FEE $ _ <br />TOTAL SEI•!ER PIi1L'IIT FEES$ <br />)) mONTBLY SEMER CIIARGES: <br />SEtJER C014STRUCTION: <br />TRUNK <br />LAT1MAL <br />SHIER SERVICE <br />APPROX. LOCATION Or SIDE SEWER OR TL'E I:1THE MAIN: <br />-- - — CIIAR'r7f'I.2vI <br />!^^ <br />zr:ro cel:rzLLu By'.�� DATr Z . <br />nrrROVAL: - ___ —y Dn`rr. <br />