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� <br /> ''1 "� <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERMIT IN �ORMA fION <br /> � <br /> ADDRESS �/I_ l/-�.Lr��-��_ %//- -A- i• TYPE �S � �. � <br /> (1) BUILDING PERMIT FEE � <br /> �3, o o.� S �S/ � <br /> (A) PLAN CHECK FEE � <br /> (2) PLUMBINC �O <br /> (3) MECHANICAL �F'� <br /> (4) WATER SER'dICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �� � <br /> (A) TO BE Gc`�rtMINED BY BLDG INSPECTOR �� INCH <br /> (D) EXIST. _ VVATER SERVICE, APPLICATION NO. • <br /> (C) APPROX. LOCATION _ <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PFIOR TO BUILDING PFR�11T IS- �o <br /> i <br /> � SUANCE ? �_ FEET �'�-n-�'-.�-e `� DRIVEWAI'(TYPE) S _ �� <br /> � — <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES � <br /> YEAR TRUNK S �'%'�� <br /> LATERAL <br /> TOTAL CONNFCTION CHARGES 3 %' �a <br /> � <br /> SEWER PERMIT FEE S �� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL 5[WER PERMIT FEES $ 70 <br /> ,�) '.'�NTHLI' SEWE^ CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 ��-� ' ='��L <br /> LATERAL <br /> " SEWER SERVICE �•�SG __ <br /> APPROX LOCATION OF SIDE SEW�R OR TEE IN THE MAIN: <br /> ! _ CHA�T L i^- .2F- � <br /> INhO C�..;r�'��ED BY: DATE <br /> �nnn�•�AL: _ _ _ UATE <br /> g.l.le <br />