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DEPARTMENT ��F COMMUNITY DEYEL�PMENT SERVlCES <br />BU[iDING P�RMPT If�FQ+IRNIA`TION <br />ADDRESS _%2 06 % �� ��-�-� 1��� TYPE _ <br />(1) BUILDING PERMIT FEE ,5�, Coo " <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIUR TO BUILDII�G PERMIT ISSUnNCE <br />(A) TO BE DETERMI��ED BY BLDG INSPECTOR _ iNCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />.`+, Ts ji'. <br />g �$'3_00 <br />� <br />,x„?_ 00 <br />%.?_od— <br />ld•oD <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE fEET DRIVEWAY(TYPE) S /�� • y d <br />ti <br />$ � 3% � <br />(7) STATUS OF SE1h'ER CHARGES: <br />BOND DISTRICT <br />NOTES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PER'��IT FEE <br />CATCH BASlN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />i <br />S � 70 <br />��� <br />�,�> <br />$ �� / <br />S �� <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LUCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPfLED BY: <br />APPROVAL: <br />41�79 <br />_ CHART � ��' � �' y <br />DATE <br />DATE <br />B <br />