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, <br />� <br />DEPARTMENT OF COMMUEVITY DEVELOPMENT SERVICES <br />' � ��Jl�.alfdG PERMI'T IP���:JCRRIA�'6�N <br />n -.�,P� S�� �. <br />n��REss ��6 � /C/ .��-_: l� <br />, ,�,•__. <br />(1) BUILDING PERMIT FEE i�Sj �� � <br />(A) PI_AN CHECK FEE <br />(2j PLUMF3ING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID �'�c{OR TO BUILDING ?[RMIT ISSUANCE <br />(A) TO DE DETERtv11NED BY [3lDG INSPECTOR <br />�/_�__,_._ IN��H <br />(8) EXIST. WATEF. `�c:'?VICE, A^PLICATION NO. <br />(C) APPROX. LC�CATIGN �- <br />5_ �'�' � - <br />�� <br />, <br />�'`i <br />o� �- <br />� 5 �� <br />-- , O � <br />CHART <br />(5) DRIVEWAY PERMI � O 4E PAID PRIOR TO B�UILDING PERh11T IS- �U � <br />SUANCE .� FE[T /`r���`�' DRIVEWAY(TYPE) S 7��y <br />� <br />(7) STATUS OF SE � R CHARGE�: <br />f30ND —��ISTRICT _ _FOOTAGE <br />N, 5, E, W <br />NOTES <br />iEWER CONNECTION CH%•.ti;GES <br />YEAR __�='� TRUNK <br />u 3p-� <br />LATERAL �,,,�,� �G `� <br />TOTAL CONNECT�ON CHARGES <br />SEWER PERMIT FEE <br />' CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRU�K <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SE\NER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPftOVAL: <br />s i.» <br />� � 70 <br />� <br />q� j G <br />� <br />$ --�' � — <br />�z/9E � <br />S <br />CHART L �_.—� <br />DATE <br />DATF <br />C <br />� <br />�. <br />r; <br />H� <br />a� <br />�- � <br />cn —. <br />F <br />o. <br />Lti � <br />�`: <br />ar <br />x- <br />r•, <br />�: . � <br />�; <br />�: <br />�. <br />,z ° <br />o, <br />� <br />� <br />� <br />