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' i <br /> DEPAMTMENT OF GOMMUNITY DEVELO►MENT SERVICES <br /> � BUILDING PERti�11T INFORMATION <br /> ADDRESS `�y�� ��f 1��`�-�-�- i1= �J TYPE �1: � ��- <br /> 5�- <br /> (1) BUILDING PERMIT FEE y5� oo� � b r��� <br /> (A) PLAN CHECK FEE l'��F�- <br /> .. a� <br /> (2) P!UMBING ��� <br /> (3� MECHA�ICAL <br /> 7 z �.. <br /> (4� WATER SERVICE TU BE PAID PRIOR TO BUILDING PERMIT ISSUANCE l 0 <br /> (A) TO BE DE'c ERMINED BY BLDG INSPECTOR 1 � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> Z <br /> 0 <br /> -a <br /> CHART �, <br /> (5) DRIVEWAY PERMIT TO 8E PAID PRIOR TO BUILDING PERMIT IS• ,� �'•' <br /> SUANCE FEET _DRIVEWAY(TYPE) � �� � � � <br /> � �G 9y� � �' <br /> ..� <br /> �, _ <br /> — m <br /> 0 <br /> (7) $TATU$ OF SE R-EHARCES: m o <br /> BOND ��DISTRICT ___. FOOTAGE o� <br /> N, S, E, W � <br /> -a Z <br /> _--, <br /> m <br /> NUTES o z <br /> c <br /> a -�. <br /> rx <br /> .. ... <br /> �� <br /> < <br /> � <br /> o � <br /> -n a <br /> a <br /> -i m <br /> x <br /> m�-- <br /> 0 <br /> � <br /> or <br /> t� m <br /> c v� <br /> 3 � <br /> rn <br /> z c� <br /> -i r <br /> SEWER CONNECTION CHARGES o� ' > <br /> YEAR �S TRUNK b �� d p <br /> x• <br /> I.ATERAL � _ <br /> TOTAL CONNECTION CHARGES 3 � 3 0 = <br /> � <br /> � <br /> SEWER PERMIT FEE $ �' � � <br /> r <br /> CATCH BASIN PERMIT FEE - ----�-- r^ <br /> TOTAL SEWER PERMIT FECS $ >o <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> _ CHART <br /> INFO COMPILED BY: DATE <br /> . APPROVAL: DATE <br /> S�BJ <br />