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f . <br /> � • DEPARTMENT OF COMMUNITY DEV4LOPMENT SERVICES <br /> � ' B �JlLDIf� G PER�'IiT I �1 �ORd►ii��'E��! <br /> � <br /> , <br /> ; � ,_. ,,� <br /> ' AQDRESS _ ����J ��"y ��• 5 t • TYPE <br /> fx� ��Z�, t� a <br /> i (1) BUILDING PERMIT FEE �3,�-D[�• b ._ -- <br /> � (A) PLAN CHECK FEE � " ���y ��- <br /> 2� - _nc7 <br /> � (2) PLUM[31NG � <br /> t 2 ��. 5Cj <br /> ! (3) MECHAMICAL <br /> (4) WATER SERVICE TO BF PAID PRIOR TO BUILDING PERMIT ISSUANCE ��' �v <br /> (A) TO (3E DETERMINED BY DLDG INSPECTUR INCH <br /> (F3) EXIST WATER SERVICE, APPUCATION NO. _ <br /> I (Ci APPROX. LOCATION �7'�/av,m rc� P/� n-v/�/tc,� 3FT <br /> ao2 0,� LoT �-1 4 - z 8 _,_ <br /> � 5 D,c h/•U� _CHART <br /> � (5) ORIVEWAY PERMIT TO E3E PAID PRIOR TO BUILnING PERMIT IS- <br /> SUANCE <br /> FEET URIVEWAY(TYPE) S �O- `'`� <br /> $ — — <br /> �I (7) STATUS OF SEW4�R CHARGES: <br /> BOND ��1-L DISTRICT _ FOOTAGE <br /> ' N, S, E, W <br /> ! NOTES <br /> ��U --L�-a '7�E7/�U�P/G�Jl�>T ��� <br /> a/ZC 7/s �� <br /> � /�I�� 2 <br /> 1 <br /> I �.r;.2 �33�. [>U <br /> . � <br /> 4 <br /> �� <br /> � <br /> SEWER CONN[ :TION CHARGES r' <br /> YEAR �� TRUNK S 3–��' � U <br /> LATF.RAL <br /> TOTAL CONNECTION CHARGES $ _='����� U `' ' <br /> � � <br /> fn _ <br /> $ JO.�� � � <br /> SEWER PERMIT FEE �� -� �: <br /> CATCH BASIN PERMIT FEE � ` <br /> TOTAL SEWER PERMIT FEES b - '�"�� ^i <br /> _ <br /> (7j MONTHLY SEWER CHARGES: �� � <br /> SEWER CONSTRUCTION TRUCK b — =J <br /> � . <br /> a <br /> Lt, fERAL <br /> T . <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �''' afl-----''' �' P�� °r°�-�x- _ ; <br /> �S 1�T �7 P��--� ��- <br /> �1 �F M f/ �S � /.1P066aC CPr� 7�Q� �----�--- - <br /> CHART L —� Y— 28- ' �. <br /> i <br /> INFOCOMPILEDBY: DATE - <br /> APPROVAL: DATE — <br /> �,.��i <br />