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; �� J <br />DEM�T'.IENT Oi COMMUNITI' DEVELO�MENT SE�VICEf <br />BUILDING PERMIT I(�FORMATION <br />ADDRES$ � � � / � �'�` ��� TYPE Sf./�' <br />(1) BUILUING PERMIT FEE �� 000 °p � -2 y �' � <br />(A) PLAN �..HECK fEE �"`� — <br />(2) PLUMBING = � �e <br />(3) MECHANICAL • SS yy ��� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMI? IS�UANCE �� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �— INCH <br />(U) EXIST. WATER SERVICE, APPLICATION NO. _.— <br />(C' APPROX.I.00ATIOIJ <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS• � <br />SUANCE FEET DRIVEWAY(TYPE) S �C <br />G G� 3q s <br />(7) STATUS OF �S�/ER CHARGES: <br />BOND �.l�DISTRICT fOOTAGE <br />NOTES <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL j63�1-9 <br />TUTAL CONNECTION CHARGES <br />siw�k r�KMir rce <br />CATCH BA51N PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INfO COMPILEC BY: <br />APPROVAL: <br />94�79 <br />S _ _� 30 �� <br />s— 3 — <br />>� <br />f 30 <br />�- <br />o����lD s 7� ~ <br />S <br />CHART s /3 � .1 �'`� <br />DATE <br />DATE <br />