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. . - �i.,, � <br /> DEPARTMEHT OF COMMUN{TT DEVFLO�MENT SERVICES <br /> BUlLIiiNG PERM (T INfOF�MATIOM <br /> , <br /> ADDRE55 �y,�� �-�..1� ,�-C�:�-`- - ��• TYnE ,5- �. �. <br /> (1) BUILDINC PERMIT FEE ,3 S ��ov �' S �:�'��O �'—' <br /> (A) PLAN CHECK FEE •� -�y�r <br /> (2) PLUMBINC �� � � <br /> (3) MECHANICAL � 5� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � � <br /> (A) TO 8E DETERMINED BY BLDC INSPECTOR �3�� INCH <br /> (B) EXIST. WATER SERVICE. APPt.ICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART _ <br /> (5) DRIVEWAY PERMII' TO B[ PAID PRIOft TO BUILDING PERMIT IS- a.. <br /> SUANCE _ FEET URIVEWAY(TYP�� S ,-20 <br /> b <br /> (7) STATUS OF SE�YER CHARCES: <br /> BOND � DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> � <br /> hr-. <br /> . � <br /> SEWER CONNECTION CHARGES o� <br /> YEAR �3 TRUNK S 3 �G <br /> ti r <br /> LAT'ERl.L -�• y " <br /> TOTAL CONNECTION CHARGES 3 � -3 n � - N �- <br /> 0 <br /> c <br /> � "' � <br /> SEWER PERMIT FEE S 3� � � <br /> CATCH BASIN PERMIT FEE -� � � <br /> TOTAL SEWER PERMIT fEES 5 3 U r� ;' <br /> � : <br /> (7) MONTHLY SEWER CHARGES: � , <br /> SEWER CONSTRUC710N TRUCK b • <br /> ° ;. <br /> LATERA! . � <br /> SEWER SERVICE � " <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: I,. <br /> r <br /> CHART /� �3 ` � F- y L .': <br /> INFOCOMPILED BY: DATE <br /> APPROVAL: __— DATE <br /> 9-1-7Y <br />