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, <br /> Yj ,� <br /> �!• <br /> ` DE►ARTMENT OF COMMUNITY D[VELO�M[NT fERVICEi <br /> `�' BUILDING PERMIT INFORMAT80N <br /> :;,. <br /> <.i �� <br /> �''' ADDRESS SO�� Qt�G �12. TYPE S•�'�+t� LY � <br /> .;,� <br /> i;�: (1) BUILDING PERMIT FEE .� CoS�C�OO.�' s 311i.F1t� <br /> ;C;," (A) PLAN CHECK FEE _po. w /[�9L+[, <br /> ,4`.� (2) PLUMBING 7�.�D <br /> .;.;� � (3) MECHANICAL p�y .SU <br /> ��; q�, �a <br /> �,•,,: (4) WATER SERWCE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ._ <br /> �''i� (A) TO 8E DETERMINED BY BLDG INSPECTOR �_ INCH <br /> ,�,;. <br /> ':�;• (B) EXIST. WATER��SERVICE, �1PPLICATION NO. <br /> ,: <br /> ':'� (C) APPROX. LOCATION '� /�+s��� �/QGvr /D t 7 � <br /> ��'� � <br /> �;!�;, � <br /> �.. E or � e♦ ,el� . CHART 1� '�4-29-4 <br /> t� (S) DRIVEWAY PERMIT TO BE P�IO PRIOR TO BUILDING PERMIT IS- <br /> b +' <br /> ;�';'� SUAN`E fEET DRIVEWAY(TYPE) S 20 ' �' ,'-'„� <br /> s�a e � <br /> :�� � <br /> ,;�: <br /> �-�t p) SUTUS OF SEWER CHARCES: �� <br /> `�`�� BOND � DISTRICT _FOOTAGE <br /> f`;- �� <br /> `.i�i� N 5 E W " <br /> ;�,, , s <br /> ;,; NOTES �� <br /> : ..... <br /> ,�.: ^ -1 N <br /> �YL� �.�� o� �1 <br /> .';I T� <br /> ''''` o� �84-Bti � <br /> �:., � <br /> .�' 8 �R. '^ <br /> �,; ��00•� �� <br /> N <br /> '�1 . . �C1 <br /> �'i. � <br /> ,�. <br /> �,� SEWER CONNk!'TION CHARGES <br /> :J ' YEAR _ � S TRUNK S ��� _ � <br /> �.';'; LATERAL '�� �8� � <br /> :{'� TOTAL CONNECTION CHARGES S -12�• �d % <br /> r. <br /> z <br /> ir� � <br /> � SEWER PERMIT FEE f �-�� �; <br /> ;:y GTCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT fEES f ��-�� <br /> �6 <br /> (7) MONTHLY SEWER CHARCES: <br /> `' SEWER CONSTRUCTION TRUCK f <br /> i. <br /> ', LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAI' �: �� �`A'>"��✓ � '� d� <br /> d-(�-s• �� . �`i!� - No GAT�L1t� <br /> CHART y �''Lq'¢ <br /> `, INFO COMPILED E": DATE <br /> � APPROVAL: DATE <br /> � 5•B4 <br /> ��..�.w�--- .--T ._. _ . __ . . . .... .. .. ..._ . ._ <br /> � <br />