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DE�A�TMENT �:: �OMMUNITY DEVELO�MENT SERVICEf <br />BUILDING PERMIT I�'FORMATION <br />�y /� � <br />ADDRESS ,-/��� �' / %�� l/�"�i�t� ��TYP � " � <br />�k <br />(1) BUILDING PERMIT FEE r-;�! G�D <br />(A) PLAN CHECK FFE �<�,��� <br />(2; PLUMBING /�.oJ <br />(3) MECHANICAL ..�..i._,r� <br />(4) WATER SERVICE TO f3E PAID PRIOR TO BUILDING PERMIT ISSUANCE �n_ d� <br />(A1 TO BE DETERMINED BY RLDG INSPECTOR � INCH <br />f!3) EXIST. WATER SERVICE, APPIICATION NO. <br />(C) APPP.OX LOCATION <br />CHART <br />�5) pRIV[WAY PFRMIT TO f�E PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCF <br />tEET <br />(7) STATUS OF SEVYER CHARGES: <br />�OND __.LI� DISTRICT _ <br />NOTES <br />// <br />�,��,,�,- .���e�e „��,��_ <br />�-O i� �%- � 5- <br />�'F. if. <br />�`�, <br />DRIVEWAY(TYPEJ S <br />3 <br />fOOTAGE <br />N, 5, f., �1' <br />.� <br />/�I <br />� ��� <br />Si�NER CONNECTION CHARGES <br />YE�R _ <br />LATERAL <br />TRUNK <br />TOTAL CONNECTION CHARGES <br />5[WER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PFRMIT FEES <br />(7) MONTHLY SEWER CNARGES: <br />SfWFR CONSTRUCTION <br />Sf.WER SERVICE <br />. D U <br />S _ ��0 � <br />s _ 3 �o �.r-- <br />PO <br />f <br />s �n �' <br />TPUCK S <br />LATERAL <br />APPROX LOCATION OF SIDF: SEWER OR TEE IN THE MAIN: <br />INFO COMPILEI] BY: <br />APPROVA.L: <br />s na <br />CNART <br />DATE <br />DATE <br />