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,- <br /> _ f: <br /> DEPAR7,NEYT OF COMMUNITY DEVEI.OPMENT SERVICES <br /> E3UILDING PERMIT IhIFORMATION <br /> ADDRESS �-� �6 � ��� �TV /� ' � �- TYPE �? I <br /> o-� � <br /> (1) BUILDING PERMIT FEE ��� OQO $ —��tl � — <br /> (A) PLAN CHF.CK FEE -----��— <br /> (2) PLUMBING c�3�'— <br /> (3) MECHI\NICAL eZ�� <br /> (4J WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE f�O <br /> (A) TO BE DETCRMINED 8Y BLDG INSPECTOR '3�y INCH <br /> (B) EXIST. WATER SERVICE, APPLICATIOIv NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMI'f IS- � ,, ,26_ <br /> SUANCE FEE-f _DR.fVEWAY (TYPE) S _y <br /> S <br /> (7) SU7US OF SEWER CHARGES: <br /> 80h!D �'/� —� DISTRICT FOOTAGE <br /> N, 5, E, W <br /> �� p NOTES <br /> Ci���u�%.�e- //7i (� 5— <br /> __�F� .� <br /> �� ��,., �� , � <br /> w�r ��• � <br /> � J�Q <br /> SEWER CONNECTION CHARGES ��_ <br /> YEAR TRUNK S __,1� 3d <br /> LATERAL —� <br /> TOTAL CONNECTION CHARGES $ '�-`� <br /> � <br /> SEWER PERMIT FEE $ � d <br /> CATCH BASIN PERMIT fEE a� <br /> TOTAL SEWER PERMIT FEES $ ?r� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ -- <br /> LATERAL <br /> SEWER SERVIC[ <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br />� INFn rn.+,n�� `D D'�`. QATE <br />� DATE <br /> APPROVAL: _ <br /> s•oa <br />�r . <br />