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01 <br />I <br />DEPARTMENT Of COMMUNITY DEVELOPMENT SERVICEi <br />BUILDING PERMIT INFORMATION <br />g to i TYPE Z ,�,� � s A. <br />ADDRESS a�x L �" n <br />(1) BUILDING PERMIT FEEi��,O� <br />(A) PLAN CHECK FEE 1p 00 <br />(2) PLUMBING OG <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _-- <br />(A) TO BE DETERMINED BY BLDG INSPECTOR <br />INCH <br />(B) EXIST WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION 1 I T .tip O F <br />(� - z� s <br />CHART 8 <br />= <br />C) <br />T� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />FEET DRIVEWAY (TYPE) <br />5 <br />SUANCE <br />-1 T <br />N 2 <br />(7) STATUS OF SEWER CHARGES <br />m <br />BOND rL� DISTRICT FOOTAGE — <br />c o <br />c, <br />- <br />N, S. E. W <br />o <br />NOTES <br />m <br />1z <br />x -4 <br />m <br />c <br />a -i <br />r x <br />c�2o 9g4 - 83 <br />O T <br />1 Q�ir)�O� 1 � �•/���j' <br />-Ar <br />� <br />N <br />0 <br />o r <br />c� m <br />c v+ <br />SEWER CONNECTION CHARGES <br />N <br />F�¢ TRUNK <br />S <br />`" <br />YEAR <br />LATERAL <br />ZOO 06 <br />n <br />TOTAL CONNECTION CHARGES <br />4 <br />— <br />x <br />SEWER PERMIT FEE <br />o <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />$ <br />(7) MONTHLY SEWER CHARGES: 6 1 <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />_ f <br />//lam <br />CHART <br />DATE <br />INFO COMPILED BY: <br />- <br />DATE <br />APPROVAL: <br />s ea <br />f <br />