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� • � n,~ � � <br /> � <br /> Q. �}� <br /> i QEP1IRTMEkT OP COMMUNIl'Y DEVELOPMENT SERVICLS <br /> � BUILDI �IG PERMiT INFORN�A�'aON <br /> ' � a o rl �Jr � �" TYP � � ��.� �� . <br /> ADDRES, � ��Z �y �� "� � ' J, � <br /> �- ��� <br /> (1) BUILDING PFRMIT FEE �Q 000 <br /> (A) P�AN CHECK FEE —��� <br /> (2) PLUMBING — <br /> �� <br /> i (3) MECHANICAL =�—�-�-- <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDIIVG PERMlT ISSUANCE �� <br /> (A) TO BE dETERMINEL� 8Y BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPRQX. �OCATION -- <br /> ' <br /> _ CHART <br /> (5) DRIVE1h'AY PERI.IIT TG BE PAID PRIOR TO BUILDING PERMIT IS- � <br /> S!IANCE _ _FEET . DRIVEWAY (TYPE) S �0 <br /> 3 <br /> (7) STATUS OF SEWER CHnRGES: <br /> ; BOND DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOT[S <br /> �,�✓L,_�� iI � /- �' � <br /> �ti� ^ . <br /> / 7 ,9 �, <br /> �--' D � . <br /> G� , <br /> ' SEWER CONNECTION CHARGES � <br /> YEAR TRUNK b J�30 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ � � d <br /> SEWER PERMIT FEE $ �� � <br /> CATCH BASIN PERMIT FEE , <br /> TOTAL SEWER PERMIT FEES � - -�Q ' <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE iN THE MAIN: _ <br /> CHART <br /> ' INFOCOMPILEDBY: DATE <br /> � APPROVAL: DATE � <br /> �J// � /J /� / <br /> /�ac��.e`.�. L-r� /�%c.�" � � <br /> i � <br /> � �,�,� ���'� ''�� -�- �5 <br /> ; � <br /> 5-84 <br />