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9EPART'dENT OF COAlMUNITY DEVELOPMEN7 SER'JICES _ • <br /> � 1i1 �.�IfVG pE�RMI�i' 1 �1 �06�11�9ATi�P�I <br /> ADDRESS � TYPE _ <br /> (1) BUILDING PERMIT FEE $ - <br /> (A) PLAN CHECK FEF — <br /> (2} PLUMBIN�; <br /> (3) MECHAR�ICAL <br /> (4) WATER SERVICE TO BE PAlL� PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERtiiINED BY BLDG INSPF:CTOR _ fNCH <br /> (B) EXISI. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATIC�N <br /> CHART_ --- <br /> (51 DRIVEWAY PERi.;f i TO 6E PAID PRIOR TCi BUILDING PERMIT IS- <br /> SUANCE __ FEET R_DRIVE�NAY(TYPE) S <br /> S <br /> i7) STAi'US OF SEU'JE;: r`'." RilES: <br /> 30ND _.�-- =�iSTRiCT FOOTAGE _ _ <br /> N, S, E, W <br /> NOTES <br /> SEWEP. CONNEC"i It�N CHARGES <br /> YEAR __. --TRUNK �• <br /> LA��ERAL - <br /> TdTAL CONNfC'fION C��ARGES `f ._..i� — <br /> SFINER FERP+41T Fi:� $ --- <br /> CATC.H BASIN PE`tMl'i FEE — <br /> TOTAI SEWER PERMIT FEES $ � _ <br /> (7) MONTHLY SEWER CHARGEti: <br /> SEWER '�ONSTRUCTION 1RUCK 'S -- <br /> LATERAL - <br /> �EVYER SFRV�CE — <br /> APPROX. LGCATION OF �IDti SFWER OR TEE IN THE MnIN: <br /> CHART <br /> — — � <br /> ;!JFC) �:O�APIIED RY: DATE <br /> APPROVAL: vATE <br /> 9 1-79 <br /> I <br />