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DE►A�TMENT OF COMMUNITY DEVELO/MENT SER': ICES <br />BUfLDifeIG PE�tMIT INFORII��TIOPJ <br />��- � <br />ADDRE55 lTc�-�'�%'.� �'I �rt-� � � 'F� . � �s . TYPE ���1� C� 7��.i . _� a _ <br />� ` �, ' - <br />(1) BUILDING PERMITFEE 1!� n(�:?'��' 3 �Q¢,r^'CJ <br />(A) PLAN CHECK FEE - <br />(2) PLUMBINC � �� [�� <br />(3) MECHANICnL _ > 1. �� <br />(4) WATER SERVICE TO BE PAID PR.IOR TO BUILDING PE�t�ti11T ISSUANCE L�r •� � <br />(A) TO ElE DETERMINED 8Y Bz_i�C INSPECTOR 3� INCH <br />(B) EXIST. WATER SGi2VICE, APPLICATION NO. <br />(C� APPROX. LOCATIC�N _ <br />CHART _ <br />(5) DRIVEWAY PERP�1iT TO BE PA(D PRIOR TO BUILDIN� PERMIT i5- <br />SUANCE _ FEET DRIVEWAY (TYPE) S Z� • O l.� <br />$ <br />(7) STAT'JS OF SE ER CHARGES: <br />BOND _DISTRICT <br />J �� R: �. <br />�/%,/� i <br />�n � <br />N <br />7� ��'����� <br />NOTES <br />!��r��..�,..,. <br />r t+ .� .. <br />f _ <br />fOOTP,GE <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR P� � _ TRUNK <br />LATERAL <br />TOTAL CONNECTION ChIARGES <br />SEWER PERMIT FEE <br />Cr,TCH BASIN PERMIT FEE <br />TOTAL SEWER PERI�IT FEES <br />(7) MONTH! Y SEWER CFIARGES: <br />SEWER CONSTRUCTION <br />$ C.z s; �) , ,7 �) <br />J '� �� <br />g ' G- <br />g .5 O-� U <br />$ �� •!� (% <br />TRUCK S <br />'LATERAL <br />SEWER S[RVICE <br />AF'PROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO C(�MPILED BY: <br />APPROVAL: __ <br />5�94 <br />CHART <br />DATE <br />DATE <br />