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DEPARTMENT Of COMMUNI7Y DEVELOPMENT SERVICES <br />Bu�LDIP�G PE,411�1IT If�F(JitIN1AT'10�1 <br />ADDRFSS %3 � 'Z %Ll �"'L"�''e" �`� TYPE _�L' � �o <br />(�) BUILDING PERMIT FEE � � �``P3 ` <br />(A) PLAN CHECK FEE �� �— <br />(2) PLUMBING �s �n <br />(3) MECHANICAL —='— <br />(4) WATER SERVICE TO BE PAID PRIOR TO EiUILDING PERMIT ISSUANCE � a <br />(A) TO BE DETERMINED BY BLQG INSPECTOR 3/S� __ INCH <br />(8) EXIST. WATER SERVICE, APPLICATION NO. _ <br />(C) APPROX. LOCATION — <br />CHART <br />�5) DRIVEWAY P[Rfv11T TO BE PAID PRIOR TO DUILDING PERMST IS- „o <br />SUANCE FEET _DRIVEWAY(TYPE) � �— <br />� <br />(7) STATUS OF SEWER CHARGES: <br />DivND �DISTRICT FOOTAGE _ <br />N, 5, E, W <br />NOTES <br />SLWER CONNECTION CtfARGES <br />YEAR _ TRUNK <br />LATERAL <br />TOTAL COrJNECTION CHARGES <br />SEWER PE�MIT FEI: <br />CATCH BASIN PERr.1IY ff.E <br />TOTAL SFWER PERMII' fEES <br />(7) MONTHI.Y SEWER CHARGES: <br />SEWER CONSTRUCTION <br />� --- �7d °_ <br />_ —.---�– <br />5 ____._.�7 6 <br />0� <br />b � ��-�—_ <br />� �d <br />TRUCK. $ <br />LATERAL <br />SEWER SFRVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAI: <br />9-1 77 <br />CHART <br />DATE <br />DATE <br />_ v- <br />S <br />� <br />c. <br />r; <br />H F <br />j r <br />H �- <br />� C <br />O <br />� �: <br />c <br />c. <br />�r <br />n <br />�� <br />c <br />�� <br />H� <br />�c <br />o �; <br />� [: <br />h� <br />�r <br />i <br />r, <br />� <br />ti� <br />. e <br />