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D�PARTMENT O� LOMMUNITY DEVELOPMENT SERVICES <br /> . � I� ILDIN(; REftM��' ONFC?RM/�510 �1 <br /> ADDRE55 __TYPE �'�� — <br /> (1; BUILDING PERMIT FEE Cv�, 6�0-`�v g 322. • � � <br /> (A) PLr�N CHECK FEE �'�S� G <br /> (2} PLUMBfNG 2L�. G�o <br /> �0 <br /> (3) MECHANIr_AL ��`"" <br /> (4) WATER SERVICE TO BE PAID PftIOR T(� BUILDING FEftMIT ISSU�NCF CD- O �' <br /> (A) TO BE DETERMIt�cD EiY �'Lt�G INSPECTf�R 3�,T INC�1 <br /> (B) EXIST. _ WATE 2 SFRViCE. APPLICATION NO. <br /> (C) APPROX. LOCATION . ___ <br /> CH�RT __ — <br /> (5J DRIV'cWAY PERMIT TO BE PAID PRIOR TO BUILDING FERMIT IS- , <br /> SUANCE FEET DRIVEWAY(TYPE) � ��•�-`�� <br /> $ �-�a71 <br /> (7) STATUS OF SEWER CHARGES: <br /> [30ND �DISTRICT FOOTAGE _.— <br /> N, 5, E, W <br /> PJOTES <br /> :,�C—�2 :D�l�7�oF/vlC��17 ��� <br /> olL.� 722— � c� <br /> �v2�--n 2 <br /> 5�2 . ���%4i�' <br /> �i✓�� � <br /> � <br /> r. <br /> SEWER CONNECTION CHARGES . <br /> YEAR ��3 TRUNK S _ � 3K�, c�� <br /> LATERAL 7,6 33� -� — <br /> TOTAL CONNECTION CHARGCS 5 33�J• �`JU � � <br /> a? �f� 3� , <br /> SEWER PERMIT FEE g 3�• �v ;J ' <br /> �� ` <br /> CATCH B�SIN PERMIT FEE � �` :- <br /> TOTAL SEWER PERMIT FEES $ — �'�U =' <br /> (7) MO�'THLY SEVVER CHARGES: '` � <br /> �. <br /> SEWER CUNSTRUCTION TRUCK $ � ' <br /> LATERAL — <br /> �EWER SERVIC� — <br /> APPROX. LOCr'.TION OF SID� SEWER OR TEE IN THE MAIN: -, <br /> r: <br /> CHART — <br /> INF000��IPILEDBY: DATE _ <br /> i\UPROVAL: DnTE --------- <br /> ,�,--e <br />