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r - <br /> DfM11 .ENT OF COMMUNITY DEVELO7MENT tViCES <br /> BUILQII�G PERMIT � NFORMATION <br /> r <br /> ADDRESS IOJ f"? I S � l�r �G � ��;-tru. � I2rtI) �uy,TYP[r'1?� N � � <br /> i1) BUILDING PERMIT FEE � <br /> (/1) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4J WAT[R SERVICF TO BE PAID PRIOR TO BUILDING PFRMIT ISSUANCE <br /> (A) TO BE DETERMINED BY E3LDG INSPECTOR INCH <br /> (f3) EXIST. WATER ;ERVICE, APPLICATION NO. <br /> (C) APPROX. LOC�TION <br /> CHAR7 <br /> (5) DRIV[WA'ti PERMIT TO f3[ PAID PRIOR TO BUILDIIJG PERMIT IS- <br /> S�ANCF FEFT DRIV��NAI'(71'PE1 � <br /> � — <br /> (7) STnTUS OF SEW[R CH/1RGES: <br /> f30ND DISTRICT _ _ FOOTAG[ <br /> N, 5, E, W <br /> NOT FS <br /> ��,��: ��,�,���T Tz <br /> v�� �,�-� �, <br /> �o, �.�.a /,vic�2Ca�'�-�7,c �.t�E7a 1 ) <br /> 1 Z `�9 � }L . ',�.f 3 = s'Z7'-f.:Sl� <br /> � <br /> SEWFR CONNECTION fH�RG[S <br /> YEAR 1RUNK S <br /> L/1TER�L — <br /> TOTAL CONNFCTION CHARGE� x <br /> SEWFR PEfth11T FFE b <br /> CATCH [3�$IN PERM�1 PE[ <br /> TOTAL SEWfR PERMIT FFES °� <br /> (7) �10NTHL1' SEWER CH�RG[5: <br /> SEW[R CON5TRUCTION TRUCK 5 <br /> LATERAL — <br /> •- SEWFk SERVIC[ <br /> APPROX. LOCATION OP SIDf SFWER OR TEE IN THc MAIN <br /> CHART_ — <br /> I INfOCQMPILfDBY: _ _ DATE _ . <br /> APPROVAL: , DATE <br /> J 3� °,% ���-.��.�� <br /> �Y 9�� ]9 J/�.'�h L �/'""_ _�f` ^�"C?C�� <br />