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� <br />DE►ARTMENT Oi COMMUNITY DEVELO�MENT SERVICES <br />BUILDING PERMIT INFORMATION <br />�DDRE55 _ � 0 G %5 i / �-���%� l TYPE � � /i . <br />(1) BUILDINC PERNIIT FEE y.3, DDO� S �S/ '� <br />(�1) PLAN CHECK F[E <br />(2) PLUM9ING <br />(3) MECtiAi!ICAL • <br />(4) \N4TER SER�'�CE ?O BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �_ I�ICH <br />(B) EXIST. WATER SERVIC.E, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />.� � ' <br />- /a o0 <br />� <br />°�"- <br />(5) DRIVEWAY PERMIT TO BE PAID PRI^OR TO�B�U LDING PERMIT IS- o <br />SUANCE o�s FEET __�C�/ DRIVEWAY(TYPE) S Io2 � <br />S 3 S6 � <br />(?) 5TATU5 OF SEWER CHARGES: <br />[30ND � DISTRICT <br />NOTES <br />FOOTACE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />T0T�1L SEWER PERMIT FEES <br />f?) MONTHLY SEWER CH�RGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX, LOCATION OF SIDC SEWEft OR TEE IN THE MAIN: <br />� <br />S .� 70 <br />s a�o � <br />� <br />s 30 <br />s 30 <br />� <br />s /./S �70 � <br />�. > D <br />—• -- CHART � ��-•Z%-S� <br />!NFO COMF'!LED 8'� <br />4PPROVAL. <br />Y1�79 <br />D11TE <br />DATE <br />1 <br />l <br />