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:NCllliaalll':(; AND CO.-INU1►IT1' ::I:ItVIC1;5— <br />DIIIi,D111C 111:1:!1fT 1:1f'01::1AT10'1 <br />11DDlt1iS.; _,�• `1'YI'1, ._._ <br />___ <br />a) <br />BUILDING I'1:R;IIT FEL <br />(A) PLAN CHUCK r2:1: <br />$ __ <br />• <br />2) <br />1'LUnIHG <br />• • <br />3) <br />bECHANICAL <br />$.__ <br />4) <br />VATP,R SERVICE TO BE PAID BEFORE BUILDING . <br />PERMIT IS ISSUM)0.5 <br />(A) ' TO BE DETERI•II:;ED BY PLDG. INSP. ,INCH <br />(nl EXIST.— HATER SERVICE, APPL. 110. �! <br />(C) APPROX. LOCATI011 <br />CHARm <br />5) <br />D?IVE: AY PI:^MT TO DE P7,ID PF. !E P.UILDI11r <br />PERMIT IS ISSUED FT. D/11 (TYPE) <br />$ <br />G) <br />STAWS OF SMILR CHARGES: TOTAL <br />$ <br />I30:,D bISTRICT FOOTAGE <br />_: <br />I.2, S, E, V1. <br />VOTES <br />/) !;O:M1LY SEWER CHARGES: <br />SINE)'. CONSTRUCTION; <br />SEI-MP CO':Y,ECTION CHARGLS <br />YEAR TRUNK $ <br />.LATERAL $ <br />TOTAL CWTNIZCTION CHARGE$ <br />SE';ER PERMIT FEE $ _ <br />CATCH BASIN PENUT FEE $ _ <br />TOTAL SEL•IER PERMIT FEES$ <br />. TRUNK <br />-LATERAL <br />SURER SERVICE <br />APPROX. LOCATION Or -SIDE SE'ITM OR 'TEE IN THE' L1AIN:• <br />CHART <br />INvO COMPILED M : . <br />APPROVAL: <br />0 <br />