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�� ' ' . <br /> DEPtiRTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUILDI (�G PE �I� IT IRI �ORMA`fl(��! <br /> ADDRESS �0��-'� ���T'`� /�''2" '' �� TYPE — � � '�. <br /> � A C> <br /> (1) BUILDING PERMIT FEE 5 i�� ' � �� U <br /> (AJ PLAN CHECK FLE /='v'# ��B�L7 <br /> 2�'�. O 75 <br /> (2) PLUMf31NG Z� _.� <br /> (3) MECHANICAL � �p <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED DY BLDG INSPECTOR __ —.�-- �NCH <br /> (B) EXIST. WATER SERVICE, APPLICA )N NO. <br /> (C) APPR�X. LOCATION ny�r�A�-�' T'� /'��' Q��'��X 3�r <br /> .C/� 9r= 1✓- GU �-i,� CHART �'-1 �7-Zfj' - J <br /> (5) DRIVEWAY PEFMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- n� Q� <br /> SUANCE FeET DRIVEWAY(TYPE) S _� <br /> � ��.� 0 :i U <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �DISTRIC FOOTAGE <br /> N, 5, E, W <br /> NOTES I <br /> �ivcG <br /> � .aG•tiGi�:G�G�� �'.:� C��',c/C,Z��c./c, <br /> 62.r� l8¢- 83 <br /> S�F� $��f�-OU <br /> � <br /> �. <br /> SEWER CONNE�IC)N CHARGE$ � ~ <br /> ���-�U ' ri <br /> YEAR ¢- TRUNK $ , <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ �'���"�� <br /> H � <br /> ,, �_. <br /> � � <br /> SEWER PERMIT FEE $ <br /> �.�� �' �. <br /> � r. <br /> C�.TCH BASIN PERMIT FEE � � <br /> TOTAL SEWER PERMIT FCES � `�,��� — � '' <br /> :, .. <br /> (7) MONTNLY :EWER CHARGES: r; ; <br /> SEWER CONSTRUC�i fCN TRUCK $ �- <br /> r : <br /> LATERAL -- � � <br /> SEVVER SERVICE '; <br /> APPROX. LOCATION OF SIDE SCWER OR TEE IN THE MAIN: LnY rD P - �F'F'�?a�-- _ <br /> /� ` -E-,Y--���-- �-nx� � � L.�> � P�ri� ? rn�r ,�l. O�- S uJ = <br /> � +�r�,'�fk" �F'> Z��' CHART �/� - 78 -5 ' :: <br /> C,�o �<- ���r � r; <br /> �; <br /> � - <br /> INFG COMPILED BY: DATE .- <br /> APPROVAL: DATE ; <br /> 9-1 79 <br />�_- . <br />