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('v 1 <br />��l <br />[3UILGING PERMIT INFORMATION <br />� <br />ADDRE55 TYPE _ �•��-L <br />(1) BUILDING P[RMIT FEE `���jp��, � S _��1�•Sb <br />(A) PLAN CHECK FEE -�'#' ����= <br />(2) PWMBING �� $E r'gT��� <br />(3) MECHANICAL �U"'�" ��'� �"'��Tf <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ��S%/,t.'!� <br />(A) TO 8E D[TERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLIf_ATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY f'ERh11T TO B[ PAID PRIOR TO BUILDING PrRMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />5F�'a� U7'� � �rY <br />�� �� z! -�j S�' <br />y2 �' � g�.q2 <br />�',�," Z3S�23 <br />� 32 �`� <br />FOOTAGE �� 6 <br />N, S, ,� W <br />�,_T� <br />� <br />SEWER CONNECTION CHARG[5 �f� <br />YEAR ��TRUNK S `1"`►'� ' �d <br />LATERAL _ SZ • b O <br />TOTAL CONNECTION CHARGES 3 __ �7 `�d <br />SEWER PERMIT FEE $ ��•�b <br />CATCH BASIN PEf:ti11T FEE <br />TOTAL SEWER PERMIT FEES $ ��•� <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK 3 <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TE� IN THE MAIN: <br />INFO COMPILED DY: <br />APPROVAL: <br />s�on <br />CHART <br />DATE <br />DATE <br />