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DEPARTMEN'� UF COMMUNIYY DEVkIOF.NENT SfRVICcS <br />B�lILLIINC PERIE�IT IN'FOR{VIATIOM <br />, � / <br />ADDRESS �O� � ��-:�l'� . �ii�� TYPE /��/�t��/Z=�--t <br />(1) BUILDING PERMIT FEE � $ <br />(A) PLAN CHECK FEE �% °� <br />(2) FLUMBINC _ <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION .;.<„ <br />CHART <br />(5) URIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY (TYPE) S <br />.$ <br />(7) STATUS OF SEWER CHARGES: <br />BONa DISTRICT FOOTAGE <br />N, S, E, W <br />NOTES <br />, �,;:.,., ,,;`_ � � <br />� u . � .;; , `, <br />} �: �- � -.... .. �j , ' � � �': . � _ . <br />• _ <br />�. <br />t y l• u t <br />��Ofr�: 't - ..- .� <br />♦ � � <br />{^�,i�..� � . . :. •: � ,. .. ..e �. <br />�iwn .'.. . .�.�.. .. � •�..n} • . � � . �.Nt� . <br />:�'.. .. . �... . '.. .. �.� . .�. ..� . . � .... <br />.4<. Miil+�..... . . �.... ...�. <br />' �'�.....- � . � - ...� .. <br />� `�`i(Y.::'�... <br />.-'-':�iv: SEWER CONNECTION CHARCES <br />� :".� YEAR TRUNK <br />LATERAL <br />_ TOTAL CONNECTION CHARGES <br />SELVER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FF.EC <br />(7) MONTHLY SE�YER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />I.ATERAL .� <br />SEWER SERVICE <br />APPROX. LQCATION OF SIDE SEWER OR TEE IN THE MAIN: _ <br />S <br />S <br />S <br />� <br />�� <br />CHART <br />INFO COMPILED BY: _'-DATE _ <br />APPROVAL: DATE _ <br />," <br />9�1•79 <br />e <br />;r';,:r <br />0 <br />i <br />� ��i t, ����. <br />Y} <br />..-1�_ ' .. �� � . <br />� <br />0 <br />