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V • ' <br />,, � '� <br />3;.. , <br />4_ <br />DEPARTMENT OF COMMUkITY DEVELOPMENT SERVICES <br />BUiLDING PE6tl�1�"�f 9R1�ORINATION <br />ADDRESS ��� ��t+� �1�'��-�' ��``y�TYPE ��� <br />(1) BUILDING PERM17 FEE �r�? v._ $ �2 �Q' ��� _ <br />�D�A• <br />(A) PLAN CNECF: FEE — `�� �� �'�� <br />(2) PLUMBIKG . �r' • � � <br />(3) MECHA"JICAL �' � � <br />(4) W�>.TER S::RVICE TO E3E PAID PRIOR TC) DUILDING PER�MIj ISSU�INC[ �� _ <br />(A) TO DE JETERMINED BY BLDG I\SPECTO!2 __ r�� INCH <br />(B) EXIST. WATER SERVICE, APPLI�ATION NO <br />(C) APPROX. LOCA710N _.. <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANI.E FEET —._DftIVEWAY(�YP[) $ ��i� 8O <br />�_ <br />(7) STATUS OF SEWER CHARGES: <br />BOND �DISTRICT FOOTAGE _ <br />NOTES <br />N, S, E, �N <br />SEWER CONNFCTION CHAF.GES <br />YEAR . �4 �' T�UNK <br />LATERAI �,�� �' ��'�yc� <br />TOTAL COtJNECTION CHARGES <br />SEWER PERMIT FEE: <br />CATCH BASIN PERfvtIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MON7HLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />$ C`T� . pc� <br />.�--- <br />g 3�•00 <br />TRUCK $ <br />LATERAL <br />APPROX. LOCATION OF SIDE StV!/ER OR TEE IM THE MAIN: <br />INFOCOMPILEG uY: <br />APPROVAL: <br />S P4 <br />CHART <br />DATE <br />DATc <br />� <br />0 <br />�; <br />m <br />.-. .. <br />-i � <br />,� -, <br />�_ <br />0 <br />m <br />co <br />mo <br />c� <br />-� c <br />o� <br />rn <br />—i z <br />_ -1 <br />m <br />oz <br />c <br />a -+ <br />rx <br />�, ... <br />--{ :n <br />< <br />T� <br />� %J <br />�� <br />S <br />-� m <br />x <br />m �--� <br />v <br />0 <br />o r <br />n R� <br />c cn <br />3 V� <br />m <br />z c� <br />--� r <br />_ m <br />n <br />x <br />c` <br />� <br />�. <br />m <br />