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�_ <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> � UIL!�ING PERMIT If� FORMA`fIC� N <br /> ADDRE55 �L��J�- �JflWLi.t�y.l,j � I�JIC �LJ TYPE ��i/..9t_r- .I�.���. <br /> (1) BUILDING PERMIT FEE I ('-F�laf1�' • � ����3r ��� -cz�z� <br /> (A) PLnN CHECK FEE P'-�-'� �� ��4- <br /> i?) PLUM8ING _ S(�• OU <br /> (3) MECHANICAL ��• OZ� <br /> (4) WATER SERVICE TO 8E PAID PRIOR TO BUILDING PERMIT ISSUANCE �t�7• C.'C� <br /> (A) TO BE DETERti11NED 8Y BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPRUX. LOCATION <br /> C:-iART <br /> (5) DRIVEWAY PERMIT TO 8E PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND T- DISTRICT _. FOOTAGE �� <br /> N, S, � bV <br /> NOTES <br /> �/�t� �/7!- 8S' <br /> �- u a9� rs <br /> �z� � 4�c� <br /> o��-w� lzlz_ <br /> .l c.o�z ��'= <br /> SEWER CONNECTIOh CHARGES <br /> YEAR �j TRUNK S �-70' ��� <br /> LATERAL L `��•-C� U <br /> TOTAL CONNECTION CHARGES S �ZO-OU <br /> SEWER PERMIT FEE $ ��-� b <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ �j'� v <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ — <br /> LATERAL <br /> SEWER SEI2VICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART . <br /> INFO COMPILED BY: DATE <br /> APPROVAL: D�TE <br /> s-aa <br />