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e <br />� � <br />DEPARTMENT UF COMMUNITY DEVELOPMENT SERVICES <br />�UILDING F'ERMfT iN�(�RIOAIATIt�IN <br />ADDRESS ,��' � -� j'� ��"�. �%�/-�� TYPE S� � <br />(1) BUILDING PERMIT FEE S _QZS� � _ <br />(A) PLAN CHECK FEE <br />(2) PLUMBINC -�? � � .. <br />(3) MECHANICAL �� _ <br />—� � � <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT I`.iSUANCE �O ' _ <br />(AJ TO BE DETERMINED BY BLDG INSPECTOR_ INCH <br />(B) EXIST. ��,• WATER S�RVICE, AP�P� ICATIO�N NO� <br />(C) APPROX. LOCATION � - ��-�%�G� %l�Gl� <br />� <br />/ � <br />_____��'s��-r1 C H A RT <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO�BUILDING PERM!1 IS- S� <br />SUANCE �S FEET ��.-�'C�DRIVEWAY(TYPE) S �a � <br />S � � n� <br />(7) STATUS OF SEV�'ER CHARGES: <br />BOND DISTRICT <br />N(_'TFS <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />O� <br />� 02 `l6 � <br />b �� � <br />� <br />c�3� <br />SEWER PERMIT FEE r� b1314�"S �d � <br />CATCH BASIN PERMIT FEE -•�� <br />TOTAL SEWER P[RMIT FEES S_ �3� � <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK 3 <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED 8Y: <br />APPROVAL: __ <br />414V <br />CHART % /�– �8'y <br />DATE <br />DATE <br />�' <br />