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,'. <br />r a ' ; <br />�� DEPARTNlENT OF COMMUNITY DEYELOPMENT SERVICES <br />��JIL��NG PE�l�ll" IP�FORINATi�N <br />ADDRESS 7�C' � %Z� ���• 7 _TYPE S�� <br />(1) BUILDING FERMIT FEE �� 66v g ��y' � <br />�, • <br />(A) PLAN CHFCK FEE i'_��r�— _ <br />(2) PLUMBING �o � _ <br />0 <br />(3) MECHANICAL ,�� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT !SSUnNCE �O � <br />(F,) TO BE DETERMINFD [3Y BI.bG INSPECTOR _-3�__ INCH <br />(a) EXIST. 1NATER SERVICE, APPLICATION NO. __ <br />(C) �\PPROX. LOCATION _._ _ <br />CHART <br />(5) DRI\ [\VAY PERMIT TO ':i[ PAID PRIOR TO [3UILDING PERMIT IS- <br />SUANCf FEET Gi:IVEWAY(TYPE) S <br />B <br />(7) STflTU`_� OFrTEVV[R CHARGES: <br />E30ND _ �1-- DISTRICT <br />NOl ES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LAT[RAL <br />TOTAL CONNECTION CHARGES <br />SEWER PE4MIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONiHLY ��EWEF: CHARGES: <br />SEWER CONSTRUCTION <br />� <br />o � <br />TRUCK � <br />LATERAL <br />SEWER SERVICE <br />APPKOX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />ai;�3 <br />CHf\RT L /� -^zP"y <br />DATE <br />DAT[ <br />