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DEPARTMENT OF COMMUNI7Y DEVELOPMENT SERVICES <br />� �U1�_LiING PER.Iv11T IN��RNIATIC�N <br />.J [�i6 �` �Z/ �% G�./• _TYPE 's FR o --- <br />ADDRESS „ ' <br />0 o a —' � --�-�—�-- <br />(�) BUIL�JING PERMIT FEE � � C� _ �_ �-____ <br />(A) PLAN CHECK FEE ���-� <br />(2) PLUMaING p4 <br />— �v— <br />(3) MECHANICAL � <br />(4) WATER SERVICE TO 4E PAID PRIOR TO BUILDING PERMIT ISSUANCE -"�'—� <br />(A) TO f3E DFTERMINED BY E3LDG INSPECTOR -��1__ �NCH <br />(D) EXIST. WATER SERVICE, APPLICATION NO _ <br />(C) APPROX. LOCATION _.�—�--- <br />_CNART __---- <br />� <br />(5) DRIVEWAY PERMIT TO BE PnID PRfuR TO BUIL�DR `✓FWAY(TYFF) �—.—.�6 <br />SUANCE FEET <br />S <br />p) STATUS OF SEWER CHARGES: FUpTAGF <br />BOND DISTRICT <br />N, 5, E, `/� <br />� <br />NOT[5 <br />SEWER CONN[CTION CHARGFS <br />YEAR _TKUNK <br />LATERAL <br />TOTAL CONNECTION CH.ARGES <br />SEWER PER.MIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEVJER PERMIT F[ES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />e• <br />� <br />� <br />g _ � — <br />g <br />� <br />TRUCK b <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SlDE �EWER OR TEE IN THE ,MAIN: <br />INFO COMPI!_ED BY: <br />APPIZOVAL: <br />� <br />d' <br />n <br />CHAR '? '���v <br />DATE <br />DATE <br />,i <br />Ui ' <br />� <br />c <br />n <br />�� <br />�, , <br />.� <br />�; <br />c' <br />� ' <br />� <br />�]' <br />K <br />O <br />� <br />r <br />c <br />=: ; <br />