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� <br /> I �� � ' <br /> ; ' 6EPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> � BUILDING PEIR11411' IN ��R1ViATiON <br /> � � i <br /> � <br /> ADDRESS ,./�0 a �' %`lZ�lr; �- �- TYPE G✓%��rL� T�M�L�� <br /> (1) BUILDING PERMIT FEE ��4jd(9�`�"� g �25. DO , <br /> (A) PLAN CHECK FEE �7� 3O �U� <br /> (2) PLUMBINC _ 2¢•O� I' <br /> (3) MECHnNICAL /LQ, 50 <br /> (4) WATER SERVICF TO BE PAID PRIOR TO BUILDING PERMIT IS'iUANCE �d'�v <br /> (A) TO BE DETERMINED B`.' f3LDG INSPECTOR INCH I <br /> (B) EXIST. WATER SERVICE, APPUCnTION NO. <br /> (C) APPROX. LOCATION <br /> ' . CNART <br /> (5) DftIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PEftMIT IS- I <br /> SUANCE _FECT DRIVEWAY(TYPE) S ZO.Ol� , <br /> $ <br /> , i <br /> p) STATUS OF SEWER CHARGES: j <br /> BOND •� DISTRICT FOOTAGE �I <br /> N, S, E, W , <br /> NOTES <br /> �w-� D�-,�. FE-� <br /> o,er� ii�i-8s' <br /> S� �uc-� �ian�i�.y lZ�� <br /> I'J�f�- � � <br /> 1-}20 tZ2.vo, <br /> �--�.uC-rz 4-1 � . c�c� - <br /> � �5p•!�= SEWER CONNECTION CHARGES , <br /> YEAR � � TRUNK S �✓����� ' <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S '�'���� <br /> SEWER PERMIT FEE S .���� <br /> CATCH BnSIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ �p•�d <br /> (7) MONTHLY SEWER CHARGES: <br /> . SEWER CONSTRUCTIO� TRUCK S <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION Of SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE _ <br /> s-ea <br />