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� <br /> 1 . , . _ �� `.J �, <br /> � DEPARTMENT OP COMMUNITY DEVELOPMEN'� SERVICES <br /> � IJ � LDlfo1G PERNIIT IRIFORIO+��l�'IOifV <br /> ADDRESS _ �a 0 01 tY ��/�• �_ c./�/ TYPE _ ��� L . :�1 . I <br /> (1) BUILC?1NG PERMIT FEE GG ���r�.ti�-r-i $ r��,� �� � <br /> (A) PLAN CHECK FEE � S�• oAQ � �� � <br /> (2) PLUMBINC — <br /> (3) MECHANICAL �-� <br /> (4) WATER SERVICE TO BE PAID PiiIOR TO BUILDING PERMIT ISSUANCE G� /) <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (S) EXIST. WATER SERVICE, APPLICATION NO. __ <br /> (C) APPROX. LOCATION <br /> _CHART <br /> (5) DRIVEWAY PERMIT TO BE FAID PRIOP. TO BUILDIVG PERMIT IS- � , <br /> SUANCE _ FEET DFIVEWAY(TYPE) S �� l <br /> S _— <br /> (7) STATUS OF SEbVER CHARGES: <br /> BOND � DISTRICT FOOTAGE __ <br /> . N S E, W <br /> NOTES <br /> �jv�(�rL:r�j-,..-�G'- ���� O 5 <br /> . ..S/. /\- � . <br /> yl/c�- i 7 9 <br /> ��,,,-4� �/7� i G, 5 p e� <br /> -�"" � <br /> SE�1�ER CONNECTION CHARGES � <br /> YE�,R �� TRUNK � �-�6 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S ��30 <br /> SEWER PERMIT FEE $ �� <br /> CATCH BASIN PERMIT FEE <br /> 09 <br /> TOTAL SEWER PERMIT FEES S �� <br /> (7) MONTHLY SEWER CHARGES: ', <br /> SEWER CONSTRUCTION TRUCK $ ' <br /> LATERAL <br /> SEWER SERVICl: <br /> APPROX. LOC��TION OF SIDE SEWER OR TEE IN THE MAIN: — <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> l'1c�. �:� �¢�ti�c. /. �v <br /> ' c `/, ✓ /i �� <br /> ''f �-nav�� �.r:� /�-�`�y�- <br /> ,l � <br /> ;, ,. <br /> 5-84 <br />