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DEPARTMENT OF COMMUNII'Y DlYELOPMENT SERV�CES <br />�IJILDING �ERMLIT' �NFf,�Rfv1A��OPd <br />�% 3 O � %�� ��'�i`za--z� TYPE = / � � o - <br />ADDRESS _ � _ �G/ �' <br />(1) BUILDING PERMIT FEE .7,.�., O � o � , <br />�.... _� <br />(A) PLAN CHECK FEE � % <br />(2) PLUMdING _ ,� f °�_ <br />(3) MECHANICAL � <br />(4) WATER S[RVICE TO 6E PAID PRIOR TO BUILGING PERMIT ISSUANCE _--�-'' <br />(A) TO BE DETERMINEL� 8Y B�.DG INSPECTOR_ 3—L�---INCH <br />(B) EXIST. WATER Si_RVICE, APPUG4TION NO. <br />(Cl APPROX. LOCATION <br />CHART <br />(5) DRib'EWAY PCRMIT TO B[ PAID PRIOR 70 l3UILDRIVEWAY(TYPE) � <br />SUANCE FEET - <br />� <br />p) STATUS OF SEWER CHARGES: FOOTAGE _ <br />60NU �—�ISTRICT _ -- <br />N, S, E, �V <br />NOTES <br />SEWER CONNECTION CHARCES <br />YEAR �� TRUNK <br />LATERAL <br />TOTAL CONN[CTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONS�RUCTION <br />cX � <br />a <br />� <br />3 � <br />3 <br />TRUCK $ <br />LATERAL <br />SEWER SFRVICE <br />APPROX. LOCATION Of SIDE SEWER OR TEE IPJ THE M�IN: <br />INFO C01�1PILED F3Y: <br />APPRO���L. <br />e., ; �, <br />n <br />CHART � �� - � <br />DATF <br />D:�TE <br />� <br />� <br />f. <br />r: <br />