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� <br /> -� <br /> I <br /> DEPARTMENT OE �f MMUNITY DEYELOPA9fNT SERVICES ' <br /> � UILDdNG PERMIT IN �Q6tMATION <br /> ADDRESS O/O�5 / �7,t1- l7T TYPE GC?tii�. <br /> (1) BUILDING PERMIT FEE �O�q�Z. �.`-" S -�+���' • G�O <br /> (A) PLAN CHECK FEE P/� . ''¢ C'piQ��s � <br /> i1) PLUMBINC <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUA�CE - � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. __ <br /> (C) APPROX. LOCATlON <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S � <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT _ FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> 5c^v� D�z����,�-L-� j-�-z,- <br /> ��'o � `7�5- � o <br /> /�/I�� -'L ��c�/c�E'-r�� 6` ���:cz,:r C%�vr��a<, � <br /> d-�:'�cr� yc � o�� L = ��. �� <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> o('�y�� <br /> SEWER PERMIT FEE S ��� � �' A!'7�-'0��' <br /> CATCH BASIN PERhSIT FEE ��` �U <br /> TOTAL SEWER PERMIT FEES $ �-E'D. 6'CJ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE -- <br /> APPROX. LOCATI�7N OF SIDE SEWER OR TEE IN THE MAIN: — <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: _ DATE <br /> 9-7-79 <br />