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DEP,�RTMENT OF COI�IML'WITY DEVELOPMENT SERVICFS <br /> � IJiLDIN�� PERt�1 �� � �.� �� s' �'�/��u 8� {�� <br /> ADDRESS _ _ —_ — Tl'P[ <br /> (1) BUILDING PERMI? FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO 6E PAID PRIOR TO BUILDING PERMIT ISSUANCE _ — <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCfi <br /> (B) EXIST. _ WATER SERVICE, APPLICATION NO. <br /> (C1 APPROX. LOCATION z <br /> 0 <br /> --I <br /> n <br /> CHART :." <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- „ �, <br /> fEET DRIVEWAY(TYPE) b — � � <br /> SUANCE � -� <br /> o� x <br /> $ m <br /> 0 <br /> co <br /> mo <br /> (7) STATUS OF SEWER CHARGES: " <br /> o � <br /> BUND _ DISTRICT FOOTAGE _ �� <br /> -� Z <br /> x -i <br /> N, S, E, W "' �. <br /> .o Z <br /> NOTES � _ <br /> .� .. <br /> -i v <br /> � <br /> T� <br /> O A <br /> TI D <br /> � �T� <br /> 2 <br /> m � <br /> N <br /> O <br /> or <br /> c� r� <br /> C N <br /> 3 v> <br /> m <br /> z c'> <br /> -� r <br /> . m <br /> a <br /> SEWER CONNECTION CHARGES A <br /> -� <br /> YEAR TRUNK S � <br /> z <br /> LATERAL = <br /> TOTAL CONNECTION CHARGES $ = N <br /> z <br /> 0 <br /> -� <br /> SEWER PERh�IT FEE $ � <br /> CATCH BASIN PFRMIT FFE <br /> TOTAL SEWER PFRMIT F[ES g __ <br /> (7) MONTHLY SEWER CHARG[5: <br /> SEWER CONSTRUCTION TRUCI< � - <br /> LATERAL <br /> SEWER S[RVICE <br /> APPROX. LOCATION OF SIDE SE WER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> \PPROVAL: _ DATE <br /> .,-�; <br />' ---'-- ------.:- _.., _— <br /> '�- - �- - <br />. -- __ -- --..�_ _ _ . --_., - <br /> . .. . . . � . � . . - .. . . . ,r''`'-r <br />-o^�i 4^'T^'�k�.y'_C. _."t ..f:r.. r :.�i -� '.'?"'�'ri' .� rp� �.'N+.^�s',.�^.r, . ._ �,7,_,--�cm�i.. .���-��—..� ._� ['�FT�^ � � _ <br /> � -v ,�i .geC� <br /> a�^::�kPp$w `t".T:�"._- u Sk q"' :r., �,.. ' '_1�}!°.�.,�,��'e...i.. ' .: _ _ . � .. �.'�'a`�-.'3�a� _...._..,..cau <br /> o..�.�e "'.�" . . „ .• ,,,,,��} . . r5< ...��_ <br /> _ , <br /> "�a^e�4�.. ei.� «'�...�{a'.."'...u.d+.b3'4tX'ei .1�L",1Aja'�ck.:.�w+, ) .'Y. t ���`����."+.++.+�ae_'k'.,a"'r."S,'.Aa�,.�..7��+�Y'+R..C.����Y:�Z.t��'�"±:��G���r R� " v <br />