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� ; � - - � � <br /> DEP...,iMENT OF l'OMMUNfCY DEVELOPn1f N. �ERVICES . <br /> � u � �.� mra� P� � � �� s �� F����e��o � <br /> ADDRESS ��5 ��T� Q�IE �•�. TYPE �'��• <br /> (1) BUILDING PERMIT FEE $'S7� �B� , Ov �y �E]7-O� <br /> (A) PLAN CHECK FEE P�.^�' S// �/ <br /> (2) PLUMBINC _ oz�• 0 0 <br /> (3) MECHANICAL Q 2� 50 <br /> ` (4) WATER SERVICE TO BE PAID PRIOR TO SUILDING PERMIT ISSUANCE ��' �d <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCI-I <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 8� C.� �-nc�,,� �apv2mn-. 24•` C' ox= <br /> f�c� bPP�- Z�'� or` S.w co� Lo-t <br /> � o� '� w� stul3vi�so 'tU CHART s— 2�I Cr <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br /> SUANCE 2� FEET C�ti/G _DRIVEWAY(TYPE! S l2 • 50 <br /> � �� <br /> (7) STATUS OF SiWER CI-IARGES: a� " O <br /> BOND �_DISTRICT 35 �OOTAGE _ <br /> N, S, E, W <br /> NOTES <br /> ���� 2 <br /> O,�,O 72� �f� a <br /> -�' 33�l. Bv <br /> �� <br /> 5[WEit CONNECTION CHARGES °�.�r <br /> `(EAR -�'��TRUNK $ `���o_ <br /> LATtRAL j?�. 7s�� -" <br /> TOTAL CONNECTION CFInRGE$ $ _ �--�'��" <br /> „)/. <br /> � <br /> SEWER PERMIT f-EE ��IJ �z�� g 30�Oa <br /> CATCH BASiN PERMIT FEE j�' <br /> iOTAL SEWER PERMIT FEES ��'� $ � - �O <br /> (7) ��10NTHLY SEWER CHARGES: <br /> SEWER ('ONSTRUCTION TRUCK S 2' 2� <br /> LATERAL <br /> SEWER SERVICE 5/ v <br /> APPROX. LOCATION OF SIDE 5EWER OR TEE IN THE MAIN: S�� M��.l� ev 2�u1� L�a j <br /> Sg_�raPv2c� t t(- �-�- P� U P t . �t. 2 �PP2Dx (e PY D�.-p o 7- <br /> pi�_ _ Ci-InRI �`- 18- 28-5 <br /> INFO COP�IPILED BY: DATF <br /> APPROVAL: __ _ _. �l�,TE _ <br /> 9449 <br />