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DEPARTMENT OF COMMUNITY DEVELOPMENT SERV�CES � <br />�UlLDING pER�s� I�F���A��O <br />�� ; TYc�� <br />, -' � ��2 a �� <br />ADDRESS � ���-"' � � ��� <br />JU <br />(1) 6UILDING PERMIT FEE `..� U�JC9U � <br />(q) PLAN CHECK FEE <br />(2) PLUMBING <br />�.�` <br />S . 7�_ '�`=,—'- <br />_�ASi G <br />2G•G'u <br />�<�.�i� <br />(3) MECIiANICAI. <br />(q) WATER SFRVICE TO I3E PAID PRIOR TO BUILDING PFR3 T ISSU INCH <br />�n) TO BE DE i[.R�!IN'cD BY BLDG INSPECTOR � <br />(L'j EXIST. __.� WATER SERViCE, APPLICAiION NO. <br />,v�na�7 <br />(�) APPROX. LOCATION ��' � n� <br />Ci'G �` �� _. <br />---- <br />J CaF �- ��% l c'�/_' <br />CHART G -/?- =�- `� <br />(S) DRIVCWA'i PERMIT TO BE PAID PRIOR T� gU��pRIVEWAY (iYPE) 5 <br />SUANCE FEET $ <br />(7) STP,TUS OF SEWER CHARGES: F�QTAG[ _------ <br />� D157RICT �-�-- <br />BOtJD _---- N, S, E, W <br />NOTES <br />SEWER CONNECTION CHARGES <br />YE�R C� ¢ TRUNi: <br />LATERAL <br />TOTAL CONNFCTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: TR�`K <br />SEWER CONSTRUCTION LATERAL <br />Z��.Oc� <br />77� oU <br />� __ _ <br />$ 'z7C7-u�� <br />$ 3= v <br />._� <br />��. cJcJ <br />$ <br />S <br />SEWER SERVICE � � T" F'�' <br />qpPROX. LOCATION OF SIDE SEWER OR TEE IN 7HE MAIN: � ` ,�� F <br />� -, 2 — F� � !U l � _' CHART L -! Z 'ZS' -`i <br />�— <br />DATE <br />INFO COMPILED BY: <br />p,PPROVAI. <br />DATE <br />H. <br />cn :. <br />0 <br />r- <br />i� r <br />N� <br />o: <br />�'r <br />�F <br />� <br />� :- <br />�, � <br />�` <br />�' <br />7 �: <br />�.. <br />nr <br />_1 . <br />� <br />2 <br />� . <br />. �; <br />