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nF.PAR�NT OF COMMUNITI �LY[LOPMENT �ICF.S <br />BUILf�I(�G PERI�IT' IN�'OR11��lTIC�N <br />ADDRESS � �� ( ���t��lz.��-�1 ��I/��! TYPE Go.vr M <br />(1) BUILDINC PERMIT FEE l50,�•� $ g�2•'�0 <br />(A) PLAN CHECK FEE F�o. � `�'��-d- <br />(2) PLUMBING �$- F� <br />(3) MECHANICAL ¢7•�d <br />(4) WATER SERVICE TO B[ PAID PRIOR TO B! IILDING PERMIT ISSUANCE ���---`9> <br />(A) TO BE DETERMINED BY BLDG INSP�CTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION �Z�� c'Z• MA�� QPF�Q� �'L�-� <br />� o� .�._ope E�a¢t.v4.},t�Cf-IART ���- `✓- �Zlq <br />��� <br />(5) DRIVEWAY PERMIT TO BE �/1�D PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />i; � � <br />NOTES <br />DISTRICT <br />DRIVEWAY (TYPE) S <br />S <br />FOOTAGE ��5�,0 <br />N, S, E, W <br />SEW[R CONNECTION CHnRGES <br />YEA+� � Ci TRUNI< <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SLWER PERMIT FEE �3 � �J <6 <br />CATCH BASIN PERMIT FEE ���I!15a <br />TOlAL SE`NER PERMiT FE[S <br />(7) MONTHLI' S�WER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />API'ROX. LOCATIOP� OF SIDE SEWER OR TEE IN THE MAIN: <br />s�� c�s�.b�- S�I�P[tily �`�Z.o u�,.�. �� <br />�_ ��, _ CHART ��'� <br />INFO COMPILED BY: <br />APPROVAL: <br />9-1 �79 <br />DATE <br />DATt <br />