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_.� <br />� <br />DEPARTMENT OF COMMUNITY DEVELOPMEMT SE RVIi:fS <br />lBIJILDING PERIl�liT INFCIR.R��►TION <br />ADDRESS %a CS -`� %Z-� . � Lr.-c- /�-� TYPE _�/ r �� — <br />(1) BUILDING PERMIT FEE S/�� �c�d ' S ��3 � — <br />(A) PLAN CHECK FEE -�-�'� _ <br />0 <br />(2) PLUMBING -� d o�._ <br />(3) MECHANICAL � <br />� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING P�ERlM�I/T ISSUANCE .�U _ <br />(A) TO BE DETERMINED BY BLDG INSPFCTOR�INCH <br />(B) EXIST. 1NATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO SUILDING PERMIT IS- � <br />SUANCE �� FEET �-�--�-�-�-�-F=- DRIVEWAY(TYPE) S �� � <br />- - $ � �D _;_�- <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />fOOTAG E <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR �� TRUNK <br />f�:il�L•l� <br />TOTAL CONNECTION CHARGES <br />y�� <br />SEWER PERMIT fEE � y,,/ <br />CATCH BASIN PERMIT FEE Jry��l$y <br />TOTAL SFWER PERMIT FEES <br />(�) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />ScWER SERVICE <br />fRUCK <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR'i EE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />41-79 <br />o� <br />5��� <br />� <br />g ,� � a <br />o� <br />$ ? O <br />��' <br />� <br />g ?r. _ <br />S <br />CHART F /� - a�- 5i <br />DATE <br />DATE <br />