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e� <br /> • DEPARTMENT OF COMMUNITY DEVELOPME�:T SERVICES <br /> -� BUIL� ING PER�11T If� FORMATION <br /> � <br /> � <br /> ADDRE55 TYPE ����'� <br /> � '''...�_' 2•3Fi,0o <br /> (1) BJILDING PERMIT FEE ��I��U' $ <br /> (A) PLAN CNECK FEE b�5r G <br /> (2) PLUMBING 22• D U <br /> (3) ME'�HANICAL ����D — <br /> �p.ov <br /> (4) WP:i ER 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. LOCnTION <br /> CHART <br /> (5) DRI'VEWAY PERMIT TO BE PAID PRIOR TO [3UILDING PERMIT IS- O D O <br /> SUf�NCE FEET DRIVEWAY(TYPE) S JD �, <br /> � <br /> (7) STATUS OF SEWER CHARGES: <br /> 40ND � DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> �vC�L �1�.-=2L-:LG'3���r f'Z'�- <br /> Q.e�7 7Z7_-�C� <br /> ,41Z�i7� 2- <br /> 5 �� �3�4. � <br /> SEWER CONNECTION CHARGES <br /> YEAR �� TRUNK S 33�` �� <br /> LATERAL �7�333-� <br /> TOTAL CONNECTION CHARGES $ �'�' �� <br /> a1SS�z <br /> SEWF.R PERMIT FEE $ '30� �� <br /> CATCH BASIN PERMIT FEE � D� <br /> TOTAL SEWER PFRMIT FEES $ <br /> (7) MON'fHLY SEWER CHARGES: <br /> SEWCR CONSTRUCTION TRUCK $ <br /> LATERAI_ <br /> SEWER SERVICE <br /> � APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILEd BY: DATE .9 <br /> DATE <br /> APPROVAL: _ <br /> 91 79 <br />