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. <br /> . � } t ;-�.. , <br /> -�. <br /> ,._;� <br /> UEPARTMENT OF CUMMUWITY DEVELOPNFNT SERVICES <br /> BUILf.'IING P�f�f�lyY II�1FOf�iV1AT1�N <br /> � ,,=,- �G <br /> c ICCCcI�i� ��P%' S C� �_TYPE <br /> ADDRE :$ ��� $ � J/ . cs'C�_ <br /> � <br /> (1) BUILDIr1G PERMIT FF.E —���G" '• Ljx,�; � <br /> (q) P!AN CHECK FEE 2_U . ��_ p _ <br /> (2) PLUMBING i/�'.�_ <br /> (31 ti1ECFlANICAL ��G-�"� <br /> (a) VdATER SERVICE TO BE PAID PRIOR TO BUILDING PERN;IT ISSUANCE _ <br /> (,q) Tp Bc UETER�'11NED 8Y BLDG INSPECTOR .�---- <br /> ir�c� <br /> (B; EXIST. . \•1'ATtR SERVICE, nPPLICATION NO. ---- <br /> (C) APPROX. LOCAT�vN � � � �/� "���`�E���j <br /> l 4�— 2 �__ <br /> �' ry� /��,,, F�ir GuT CHART _..�''=—�i <br />( (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- '� Ln� � � ���3 <br /> � FEET �---�RIVELVAY(T'�'PE) $ _ " <br /> SUAN..E g <br /> i <br /> (7) STAiUS df SEWER CHARGES: FUQTAGE _ � <br /> DOND �—DISTRICT . — ' <br /> N, S, E, W <br /> NOTES <br /> �[2G� C,n/�. %MP• GF✓�5- <br /> a,�p. ��y �� <br /> C_��-? �' �'�`�`'�``�' <br /> 33q, o� <br /> � <br /> � <br /> �. <br /> �: <br /> SEWER CONNECTIUN CHARGES �� � ���� " <br /> YEAR �' � TRUNK � — �., <br /> LATEr2AL �`�_�� U H � <br /> TOTAL CONNECTION CHARGES $ " � <br /> H � <br /> U. � <br /> G <br /> $ `------- !°7 �„ <br /> SEWER PERMIT FEE �_, � <br /> CATCH BASIN PERMIT FEE �� �� � r <br /> '� : <br /> TOTAL SEWER PERM!T FEES $ n <br /> r� : <br /> r <br /> (7) MONTHLY SEWER CHARGES: � <br /> TRUCK $ � ` <br /> SEWER CONSTRUCTION �_ � ' <br /> LATERAL ° Y <br /> SEWER SE2VICE � �,,,,�,L-n '7J � ` <br /> PG�r�--- <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 0 r � ��j,f'�X � . <br /> � 1 �iil iF/ FJ�' r .� <br /> � � � CHART [— l 9 Z.Ll�- 5 <br /> : <br /> — ��—� i <br /> DATE ----- <br /> INFO COMPILED BY: DATE _---- <br /> P.PPKOVAL: _ <br /> ��.ia�r <br />