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~ DE�ARTM NT Oi GOMMUNITY DEVElO►MENT SER� ES <br />BUILDING PEIRMIT INFORMATIOfV <br />/1UDRESS �.�L-�� �d � L�i. �_ � <br />(1) BUILDING PERMIT FEE �/�dOd �1 <br />(A) PLAN CHECK FEE <br />(1) PLUMBINC <br />(3) MEC:HANICAL <br />(a) WA'i ER SERVICE TO BE PAID PRIOR TO BUILDING PERM T ISSUANCE <br />(A) TO B[ DETERMINED BY BLDC INSPECTOR 3�$� �NCH <br />(8) EXIST. WATER SERVICE, APPLICATIUN NO. <br />(C) APPROX. LOCATIQN <br />CHART <br />(5) DRIVEWAY PF.RMIT TO BE PAID PRIOR TO DUILDING PERMIT IS- <br />SUANCE rEET _ ^`DRIVEW,IY(TYPE) S <br />S <br />(7) �TATUS OF SEWER CHARGES: <br />BOND _ � DISTRICi _ <br />NOTfS <br />��(.a..�-..:��c-� //7% -�'�_ <br />G���N /79 � <br />�,�.�-�''" _ y1 i ,` <br />�� <br />FOOTAGE <br />N, 5, E. W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATER4L <br />TOTAL CONNECTION CHARGES � <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TQTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER C'-IARGES: <br />SEWER CONSTRUCTION <br />.lu <br />� � <br />� <br />— l0 � ,_ <br />N <br />� <br />�-- <br />S — 31O <br />s �330 � <br />S �7 � <br />S �0 <br />TRUCK f _ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWEP, OR TEE IN THE MAIN: <br />INFO COMPII_ED BY: <br />APPROVAL: <br />5�84 <br />CNART <br />DATE <br />DATE <br />� <br />