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�' ° :°-�T y '�' i <br />DEFARTMENT OF COMMUNITY DEVELOPMENT SERVI:.ES <br />�fJIL�IfVG IPERMlT' IRIFORlVIATION <br />J 1 l��/-��� <br />ADDRESS �SO j i�T.�j� �/�Gr.�-c �l.�r1 --TYPE // - F •,%I - <br />(l) BUILDING PERMIT FEE ..�� o00 `- $ �,p. o — <br />�--- <br />(A) PLAN CHECK FEE ��cyc <_ <br />(2) PLUMBING �;?p `�—' <br />(3) MFCHANICAL �5� `— <br />(4) WAT[R SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ��6 � <br />(A) TG E3E DETERMINED BY BL7G INSPECTOR INCH <br />(8) EXIST. WATER SERVICE, APPLIC,4TION NO. <br />(C) APPROX. LOCATION <br />CHARf <br />(5) DRIVEWAY °ERMIT TO BE PAID .�RIdR TO BUILDING PERMIT IS- ��,S�g <br />/ / 6� <br />SUANCE � � FEET( �yL•�-.�� � DRIVEWAY (TYPF) g ___.,_ ,_, .%Q___ <br />3 �,., n <br />(7) STATUS OF SEWER CHARGES: <br />BOND _�DISTRICT <br />NOTES <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR �� TRUNK <br />LATERAL �`����J <br />TOTAL CONNECTION CHARGES <br />SEWER Pf:RM1T FEE <br />CATCH BASIN PF.RMIT FEE <br />iOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER ChIARGES: <br />SEWER CUNSTRUCTION <br />c� <br />g � `' d <br />g <br />[j <br />$ <br />TRUCK 5 <br />LATERAL <br />SEWER SERVICt <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE h1AIN: <br />INFO COMPILED BY: <br />APPROVAL __ <br />5�8�1 <br />r� <br />� <br />0 <br />� <br />CHART G /� —.2 S —� <br />Di1TE <br />D�TE <br />Z <br />0 <br />-1 <br />�. <br />c� <br />m <br />� TI <br />�--� _ i <br />VI S <br />m <br />00 <br />mc <br />� <br />--1 c <br />nm <br />-I z <br />_ --, <br />m <br />o� <br />c <br />a —, <br />r= <br />..� <br />�� <br />-� <br />� <br />o� <br />-n = <br />3 <br />-a m <br />x <br />m �� <br />0 <br />�: <br />or <br />c� m <br />c cn <br />3 ✓� <br />m <br />z c� <br />-i r <br />. m <br />z <br />� <br />-i <br />_ <br />n <br />� <br />v <br />� <br />_, <br />i=n <br />