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r <br />1i11UINLl.It.IN(l AVU c ONMIUNITY 1.Bl:VICI:S <br />DUILDDIIIG PI:R!_1T'1' 101'0141A' ION <br />r <br />A <br />TYPE _ <br />i <br />1) <br />BUILDING PERMIT F1:L' ",�• 1, �_��. OU <br />$ OU <br />$ L' eO - t' <br />(A) PLAN CHECK Flit: <br />2) <br />PLUMBING <br />$ Z%.0c) <br />•• <br />U U <br />3) <br />MECHANICAL <br />4) <br />I1ATrR SERVICE TO BE PAID BEFORE BUILDING <br />$ UU <br />PEWlIT IS ISSUED <br />(A) TO BE DETER141MED BY PLBG. INSP. INCH(R1 <br />EXIST. 1'1ATrR SERVICL', APPL. NO. T_ <br />(C) APPROX. LOCATION <br />_ <br />CI[ART P p U , t, << <br />5) <br />D;IVEWAY PrRplIT TO BE PAID BrFORE BUILDII:G <br />D/1.1 (TYPE) <br />PEWMIT IS ISSUED ��-FT• <br />G) <br />ST.uUS OF small CIIARGES: TOTAL <br />$ 4 <br />BbND ,�DISTRICT 3 i' FOOTAGE <br />• N, 6, E, Vl. <br />� <br />NOTES <br />SEWER CONNECTION CHARGES <br />YEAR _� TRUNK <br />LATERAL <br />TOTAL CONNECTION C11AIiGF.$ L 7,0' t>� <br />I <br />SEVIER PER11IT FEE $ 3© VU <br />CATCH BASIN REIL`tIT FEE $ <br />TOTAL SEWER PEIU41T FEES$_ <br />7) MONTHLY SL'1'IER CIIARGES t <br />SEWER CONSTRUCTION; TRUNK I <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION or SIDE SEWER OR TEE IN THE MAIN: <br />Il•1Fo CoNrii.L•'D By! <br />Ar P I;OVAT• <br />CHART P n"f ' +' <br />6ATr <br />DA'I H <br />m <br />