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,- <br /> _ � <br /> -1 -1 , . <br /> DEPARTMEWT OF COMMIJNITY DEVEL�UIMENT SERVItES , `, <br /> � UILDI �VG PERI�IIT IfaIFARMATiOf� ��� <br /> I ADDRtSS � � O l � (iG- /:tG-e - ��/_ TYPE _ �j'��-� � <br /> (1) BUILDING PERMITFEE g�q�Ej��O • �"� g 2 ��3• _��D <br /> (A) �LAN CHECK FEE f`� •" S�;LL L <br /> (2) PLUMBINi, (� • dh __— , <br /> � (3) MECHANICAL 17' �� <br /> (�i) WA7ER SERVICE TO BE PAID PRIOR TO BUILDING PERh41T ISSUANCE ��' �d _ I <br /> (A) TO BE DETERMINED Bl' BLDG I�'SPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. _ <br /> (C) APPFOX. LOCATION �s=-c � �t L-'�� v �� <br /> ��� --� CHART_� _— <br /> (5) Ur�IVE\NAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- I <br /> SUANCE � �_— FEET Go,-�G. DRIVEWAY(TYPE) b �' �� . <br /> � ^, � r <br /> $ `Z. (• <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND -1-'-- DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR �� TRUNK s '� ja• � � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES 3 �Z70 • O O <br /> SEWER PERMIT FEE 3 ��' � � <br /> CATCH BASIN PERMIT FEE � <br /> TOTA!_ SEN!ER PERMIT FEES S 3C' ` �J <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK 3 � <br /> LA7ERAL ' <br /> � SEWER SERVICE / - - <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN 7hlE NiAIN: .S�L�`r Tr•� P�. ,�'P(�!�'�K <br /> 20 r� ►-� c�- S.w ��.�: c� Gn_L � .d-PP,emx 7r-T . <br /> �' —_._._----.— CHART �-12-Z.2- `� <br /> I" INFOCOMPILEDBY: DATE � <br /> APPROVAL: DATE <br /> 4.,.-� <br />