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.I <br /> DE►,. .lMENT OF COMMUNITY DEVEIO�MEn� aERVICES • � <br /> BUILDING PERMIT INCORMATION � <br /> I <br /> ADDRESS �`l" � � G/, �/�.lO K D TYPE �MM. <br /> (1) BUILDING PERMIT FEE S _ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING � <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _�� • B v <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR Z INCH <br /> (B) EX15T. WATER SERVICE, APPLICATION NO. <br /> (C) APF'ROX. LOCATION <br /> _CHART <br /> (5) DRIVEWAY PERMIT TO BE PA�D PRIOR f0 BUILDING PERMIT IS- <br /> SUANCE �5 FEET ��'�' DRIVEWAY(TYr'E) S �2' �' <br /> S <br /> (,') STAIUS OF SEWER CHARGES: <br /> BUND �1 / DISTRICT ' `OOTAGE '-�l '- <br /> �'N� 5. E, W <br /> NOTES <br /> G�L,�% i �� — �` �'� � <br /> i. <br /> ,rli��z� �l 'C��_, -,2-, i4- <br /> ;�,� ";�Qf> � )C . r�/''� - <br /> :'�I3C�5` <br /> SEWER CONNECTION CHARGES <br /> , .• <br /> YEAR � � ' TRUNK 3 % --'�`�" � =� '-' <br /> LATERAL ���'�"`�� �� �-' <br /> TOTAL CONNEC'iION CHARGES 5 <br /> :r� r,G . '7 r,, <br /> 2??��i <br /> � <br /> SEWER PERMIT �EE o/p� S � %�� � ` <br /> CATCH BASIN PERMIT FEE �`�3 �'J � ' � ` <br /> TOTAL SEWER PERMIT FEES 3 %'��� ' � � <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION 'fRUCK S <br /> �.ATERAL ��- ' � J <br /> SEWER SERVICE ''i'�`r�-'F�t-�.' <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: _ <br /> CHART <br /> INFO C0�1PILED BY: DATF. . <br /> APPROVAL: DATE <br /> �.� �9 <br />