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J <br />DEPARTMENT OF COMMUNITV DEVEIO/MfNT SEIIVICES <br />BUILD�NG PERMII' INF�RPAATI��ti ` <br />ADDRE55 ��ZI �r�`f T'" P`'. ��' IYPE �'.�,L� - <br />(1) BUILDING PE�MIT FEE `-5=`��'� s '�a�'�-� <br />(A) PLAN C:HECK FEE -�--- <br />(21 PLUMBING <br />_�, �l �L) --- <br />(3) MECHANICAL —�-����� <br />�n� yyATElt SERVICE TO dE PAID PRIOR Tn RUILDINc; PLF•M11 ISSI!ANC[ ___ _������'U —_ <br />(A) TO BE DETERMINED BY DLDG INSPCC;OR _�-- �NCH <br />(B) EXIST. WATER �ER✓ICE, APP.ICATION NO. _ <br />(C) APPROX. LOCATION �Ztlq��-�%' -�' - a�'�'�'�` � �,- <br />�l�Gq¢ pf-LoT _CNART 1 "�9-Zb'' <br />(5) DRIVEWAY PERMII TO BE PAID PRIOR TO BUILDING PERMIT 15• �Q C� <br />SUAN�E FEET _DRI\'EWAY(TYPE1 S _ '-- — <br />S `�a�� �U — <br />(7) STATUS OF SEWER CHARGES. <br />PONU �—DISTRICT <br />NOTES <br />�-�J � ./ . 5��: GHA�f'(7e.F� <br />�� '/tgl�—�-3 <br />�8 ��t'�'�_�c� <br />FOOTP,GE <br />N, S, E. W <br />SEWFR CONNECTION CH�RGES <br />YEAR �� TRUNK <br />LATE� AL <br />TOfAL C�7NNECTION CHARGES <br />SEWER PERMIT FEE <br />UTCH BASIN PERMIT FEE <br />TOTAL SfWER PERMIT FEES <br />(7) MONThILY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S -���' �? L) <br />s ,��/,J•OD <br />S -.U' C�D <br />s =3U•C.C� <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />�,� r � r/c � �1!'f'�c <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN. 7 � <br />INFOCOMPILf.D DY. <br />APPROVAL <br />y 14 <br />CHART � / `/"Z�" � <br />DATE <br />DATE <br />fl <br />H 1 <br />