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� <br /> 1 <br /> DEPARTMENT OF COMMUNITY DFVELOPMENT SERVI .ES ' <br /> BUILDI �IG PEftMIT INFORMATION , <br /> -� <br /> ADDRESS TYPE � <br /> g _ ��.>� � <br /> (1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FEE ` <br /> /� � <br /> (2) PLUM6ING � <br /> (3) M�ECHANICAL ��� � �� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE s. --�=- <br /> ��ir-H <br /> (A) TO BE GETERMINED BY E3LDG INSPECTOR i <br /> (8) EXIST. WATER SERVICE, APPUCATION NO. , <br />> <br /> (C) ,�PPRnX. LOCP.TION , <br /> Z <br /> CHART -�i <br /> 1 � <br /> (5) DRIV[WAY PERMIT TO BE PAID PRIOR TO BUlLDRIVEWAY(YPE) S a� m <br /> SU.ANCE FEET <br /> 3 � � <br /> -� -„ <br /> �� -� <br /> �" _ <br /> m <br /> (7) STATUS OF SEWER CHARGES: � o <br /> �'- DISTRICT FOOTAGE `" � ' <br /> ROND - <br /> N, S, E, W � m <br /> —I z <br /> x --i <br /> NOTES "' �-. <br /> QZ <br /> � <br /> a --i <br /> r = <br /> .. �. <br /> � � <br /> K <br /> -r� <br /> o �l <br /> T 1� <br /> ' � m <br /> x <br /> m .-� <br /> 0 <br /> � � <br /> or , <br />• nm <br /> c cn <br /> 3 tn <br /> m <br /> SEWER CONNECTION CHARCES -Zi m <br /> YEAR TRUNK 3 -1� ' a <br /> A <br /> --i <br /> LATERAL =" <br /> a <br /> TOTAL CONNECTION CHARGES � � <br /> _ <br /> .. <br />! N <br /> i $ 3�_00 . Z <br /> SEWER PERMIT FEE � <br /> CATCH BASIN PERMIT FEE b -�_� R <br />' TOTAL SEWER PERMIT FEES _ <br />, (7) MONTHLY 5EWER CHARGES: b <br /> SEWER CONSTRUCTION TRUCK <br /> LATERAL <br />� S[WER SERVICE <br />� APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8 �ti�/' �� �'`� ���9 � �c�[`v <br />� . �,,. . � ,,.�.� •s.x €�e� r-�s <br /> S E.� M N 7 f � -- ��T G�-�Y� <br /> � i.-- 32-Z 4 � <br /> CHART <br /> INFO COMPILED BY: <br /> DATE <br /> DATE <br /> APPROVAL: <br /> 41-79 , <br /> i� <br />