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� � <br /> r� ,. <br /> DEPARTMENT OF COMMUNITY PFVELO�MENT SERVICES <br /> BUILDING PERMIT II� FORMATION <br /> ADDRE55 `+'OCO ���aL�lb� LU/1� S. (.� TYPE h.�e- <br /> (1) BUILDING PERMIT FEE �4�I�4�,UC7 g 2f'3-c� � _ <br /> (A) PLAN CHECK FEE l � , 70 ta[.t� <br /> (2) PLUMBING ���� � <br /> (3) MECHANICAL �� ' �V <br /> (4) WATER SERVICE TO BE F'AID PRIOR TO BUILDIPJC PERMIT.ISSUANCE ��� �� <br /> (A) TO BE DETERMINF:D BY BLDG INSPECTOR 3� INCH <br /> (B) EXIST. W,qTER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATIO�' <br /> CHART ' <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE 'L5 FEET �`-�'- �-�t.7 DRIVEWAY(TYPE) S �L`5a <br /> $ 40P�, �o <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND � DISTRIi:T �—FOOTACE <br /> N, S, E, W <br /> NOTES <br /> �x,��,� �� �.�/� / <br /> �i9-8o y 2 96y <br /> /sc o�`�`' <br /> SFWER CONNECTION CHARGES <br /> YEAR 8 � TRUNK S 33�•�U <br /> LATERAL <br /> TOTAL CONNECTION CHARGES � S 330�"J <br /> � a� <br /> ^ �/yJ �o.o a <br /> SEWER PER.MIT FEE c �� b <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES g -�'O`Ov <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK a . 2' 26 <br /> LATERAL <br /> SEWER SERVICE S,�v <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART ` -�� �2�' �4 <br /> INFO COMPILED BY: . DATE <br /> APPROVAL: DATF <br /> • �T . � � <br />