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DEMRTMENT OF COMMUNiTY DEVELOPMENT SERV'ICES <br />BUILDING PERM1IT INFORhAATION <br />ADDRE55 TYPE <br />(1) BUILDINC PERMIT FEE 5 <br />(A) PLAN CHECK FEE <br />(�) PLUMBING <br />(3) �v1ECHANICAI <br />(4) WA7ER SERVICE TO BE PAID PRlOR TO BUILDINC PERMIT 155UANCE <br />(A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APF�OX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMiT IS- <br />SUANCE FEET �RIVEWAY(TYPE) 5 <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />fQOTAGE <br />N, S, E, W <br />NOTES <br />'.�tiJ Y} 5:' R.r��. 1,n i'f . j <br />y �I �^Y�II'%�!1 � �. <br />:y � f.:'a � A:.. �..... , _....�. • . n � � T- Jn —, <br />. . �� �• .b ..� � -, . � �I YnWyr.' <br />_1� sf 'yk U � 1.,. ,y.... <br />�ro'�.OM1 T H" .W �J r � YS k . �. . . �_ ...� � t .�+ .. . <br />/4i+MY L'Vn�p,� y 1� .:. n ... .q.� .n q�.��. <br />.✓.r� � � ��N "-Nn� �� � ��'� + � <br />.CM�.b0. N1f�; C' � . . . �y.�n ..M4 �. .. ...� n <br />e �. �. w <br />���hr � <br />-e.�.itiT�"_: . . .. . . . . .. . ....,. .. ..yi:.. <br />-ayLi';e.�..Sx�� . <br />SEWER CONNECTION CHARCES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTftUCTION <br />S <br />S <br />3 <br />S <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />&iJ9 <br />CHART <br />DAl'E <br />DATE <br />1 <br />_ ,.., .;;_i <br />