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DF.PARTMENT OF COMMUN�TY DEVELOPMENT SERYICES <br /> � UIL� I �JG P� �IVIIT INF�RMATION <br /> / D � G3 �4�! �� �� � —TiPE � /-� K-' <br /> ADDRE55 'y`` L <br /> `i `.'� =�L:�.C�� c�, $ ��/ FJ . C')C� <br /> (1) E3UILDING PERMIT FEE �� ���_'� � <br /> (A) PLAN CHECK fEE �L �,, �j <br /> (2) PLUMDING ��.�jp <br /> (3) MECHANICAL � �p.p�j <br /> (4) WATER SERVICE TO BE PAID PRIOR TO DUILDING PERM131SSUANCH <br /> (A) TO BE DETERMINED [3Y [3LDG INSFECTOR - �4 <br /> (E3) EXIST. \NATER SERVICE, APPLICATION NO. <br /> (C) APPROX. �OCATION <br /> CHART _ <br /> (51 DRIV[WAY PERMIT TO BE PAID PRIOR TO D'JILDING PERMIT IS- �U ,v� <br /> SUANCE FEET _. DftiVE�NAY (TYPE) S <br /> � -�Z � <br /> (7) STATUS OF SEWER CHARG[5: <br /> �QNp �L DISTRICT _ F�707AGE <br /> N, S, E, ��' <br /> NOTES <br /> ��L��?- Z�GtI��Cf�jvJ�–�CJT �G�� <br /> v�;� Zly- �30 <br /> h�� �� <br /> , <br /> n �%•7c� . E✓ <br /> .�.r.k . <br /> � <br /> .� <br /> � <br /> SEWER CONNECTION CHARGES ����� 3�,, ty c <br /> YEAR � �� TRUNK � - • <br /> LATERAL ����,U ;�;.�U <br /> TOTAL CONNECTION CHARGES $ <br /> � � <br /> „ �- <br /> �-, � <br /> $ �D. E-'O n � <br /> SEWER PERMIT FEE .. <br /> � Y <br /> CATCH BASIN PERMIT FEE <br /> 70TAL SEWER PERMIT FEES $ _ ��� E��l � ` <br /> _--- F <br /> C7 , <br /> (7) MON�HLI' SEWER CHARGES: $ c :. <br /> SEWER CONSTRUCTION TRUCK <br /> � :: <br /> LATERAL — ~ : <br /> z � <br /> SEWER SERVICE � � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: a � <br /> CHAr�T � <br /> INFO COMPIL[D BY: DATE : <br /> DATE —_-----� --- <br /> APPROVAL. -- <br /> 9.ta9 <br />� — — , <br />