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JEPARTMENT Of COMMUNI'fY DEVEI.OPMENT SERVICES <br />BUILDlh1G PE�SIi�IT If�FOf�fviATiOld <br />, � %,�-=2 <br />ADURE55 �4 U`� �T�"� Z7�- �C� — ll'I E <br />oJ $ Z7 �S. �:; U <br />(1) BUILDING FERMIT FEE i�`�'.���' ��y���, <br />(A) PLAN CHECK FEE ��,,�a _ <br />(2) PL.UMBING 2./. E'C� <br />(;) MECHANICAL (,��. p� _ <br />(4) �h'ATl:R SERVICE TO BE PAID PRIOR TO BUILDIyG PEP. 3T ISSUANC i <br />(A) TO BE DETERMINED BY BLDG INSPECTOR _�- <br />(Bl EXIST. WATER SERVICE, APPLICATION NO _ <br />(C) APPROX. LOCATION ✓�� -� <br />-�� T� i/ /1 PP,2 G�,� c� <br />.t-/ Ur� S-E �o:�e OFL;;rCHART _L / Z Z �' ¢' — <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO E3UILDING PERMIT IS- L`�'`,� <br />SUANCE FEET DRIVEWnY(iYPE) S <br />� <br />(7) ST�TUS OF SEWER CHARGES: <br />f30ND -� DISTRICT FOOTAG:: <br />N, S, E, �N <br />NOTES <br />SEWER CONNECTION CHARGFS <br />YEAR _ �J ¢ —TP.UNK <br />LA7ERAL <br />TOTAL CONNECTION CHARGES <br />SEWER P[RMIT FEE <br />CATCH E3ASIN P[RMIT FEE <br />TOTAL SEWER PERMIT FEES <br />p) h10NTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S 7� � <br />$ �7 'l�� • �id <br />$ ���.Cif/ <br />--- <br />$ �*i . U U <br />TuUCK $ <br />LATER�+L <br />SEbNER SERVICF . F,�. . <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��' � <br />��� �j , / L �v . ,r .o <br />_ CHART LiL�z�� <br />INfO COMPILED BY: <br />APPROVAL: <br />y.t.79 <br />DATE <br />DATE <br />�� <br />ti� <br />H � <br />V7 ': <br />r <br />� �; <br />�' r <br />�F <br />y <br />r� � <br />�.. <br />c: <br />�= <br />�. <br />�'' <br />=, <br />�` <br />�., <br />� <br />� _: <br />� ': <br />