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DE►ARTMEHT OF COMAIUNITY DEVELO►MENT SERVICES <br /> BUILDING PERMIT INFORMATIC�N <br /> ADDRESS � - � , TYPE ���`�'�' <br /> (1) BUILDING PERMIT FEE �' �Q�(J� D�� � b ��� vU <br /> (A) PLAN CHECK FEE `' •�Z'- �`�� <br /> (2J PLUMBING ��� ��'� <br /> (3) MECHANICAL —��� <br /> (4) WAT[R SERVICE 1'O BE PAID PRIOR TO BUILDING PERMfT 155UANCE _ <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH �J�C'6— <br /> (B) EXIST. WATER SERVICE, AP°LICATION NO. � <br /> (C) APPROX. LOCATION � <br /> CHART <br /> (5) DRIVEWAY PERMlT TO BE PAIp PRIOR TO BUILDING PE:RMIT IS- �,, <br /> SUANCE FEET DRIVEWAY(Tl'PE) b 2��� y i <br /> 3 v, � <br /> (7) ST�TUS OF SEWER CHARGES: r� <br /> �OND DISTRICT FOOTAGE .___ � � <br /> N, 5, E, W � <br /> NOTES � z <br /> N � <br /> � H <br /> � N <br /> � �L �� Q � <br /> �� ���� � <br /> H <br /> �P�� � <br /> ��CO�� � `� <br /> � <br /> SEWER CONNECTION CHARGES � � <br /> YEAR TRUNK 3 � � <br /> LATERAL - <br /> TOTAL CONNECTION CHARGES � _ � <br /> � <br /> �t9 . � <br /> SEWER PERMIT FEE S — � <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHL�" SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK � <br /> LATERAL — <br /> SEWER SERVICE <br /> �PPROX. LOC�TION OF SIDE SEWER OR TEE IN THE MAIN: �r�'� �//���� `� ��— �� <br /> p�; r�z5 itiu ,u�,���,v ,d��,�ox /�1 �y � c�__�2� rf°�c <br /> , <br /> .�1l=> l7�Z?' /�-U�c7 �O/�"i �J J'` c��'T IX�`�HART <br /> - - � <br /> INFOCOMPILEDl3Y: _ DATE <br /> APPROVAL: DATE <br /> s a, <br />