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r <br />f" <br />� <br />, , <br />DE►ARTMENT f)F COMMUNITY DEVElO►MENT SERVICES <br />�UILDING PERMIT INFORMATION <br />ADDRESS S�I � %'�1 � l^�'� = :�• �. _TYPE S � � <br />7 � ��so-, <br />(1) BUILDING PERMIT FEE !�� _�Od S <br />�- <br />(A) PLAN CHECK FEE _ <br />(2) PLUMBING `� � <br />(3) MECHANICAL — ��=` <br />(4) WATER SEP.VIC� 1G 1iE �'�� I` F�tIOR �Q dl'�LDING PERMIT ISSUANCE E' d <br />(A) TO BE DFTERMINED BY BLDG INSPECTOR _ j �� INCH <br />(B) EX�ST. VdATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEVI�AY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND � DISTRICT FOOTAGE <br />NOTES <br />N, S, E, W <br />SEWER CONNECTION CHARCES a�- <br />YEAR �'�–' TRUNK S � 7 � <br />LATERAL �— <br />TOTAL CONNECTION CHARGES S � !d <br />SEWER PERMIT FEE d2�� �fl�i ,3 d' <br />CATCH BASIN PERMIT FEE - 3d-� <br />TOTAL SEWER PERMIT FEES s _ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX. LOCATIO!� OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO CUMPILED BY: <br />APPROVAL: <br />�a <br />s /. �s � �o <br />f _ S�d <br />CHART 1 /�-a�'� <br />DATE <br />DATE <br />