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� DEtARTMENT OF GOMMUNITY DEVELO�AlENT SERVICES <br /> , , , <br /> BUILDING PERMIT INFORMATION <br /> ' ADDRESS r�3� �2���/.�Y TYPE �•G/r�i�M L. <br /> � <br /> (1) BUILDINC PERMIT FEE � 1Z5� �c�C�• �" $ c�c�c�� S-Z <br /> (A) PLAN CHECK FEE �� • �`�''�<< <br /> cz) ri.uMniNc �.;G� n�•� <br /> ! (3) MECHANICAL � � ' ��� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE `� U� ' � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � ._ INCH <br /> � (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> � (C) APPROX. LOCATION I'L`' F-��O r tJ ,L�-P/�2 bx ,_l E (=`r <br /> �� l��,�.0 a�( <br /> _' � OF � � � L�E CHART �3 - Zv --Z•�I- �� o <br /> � <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- � r, <br /> SU�,NCE __FEET DRIVEWAY(TYPE) 3 ciZ�O m <br /> t� <br /> b =a -n <br /> .. � <br /> (7) STATUS OF SEWER CHARGES: `^R I <br /> BOND _DISTRICT _FOOTAGE �-l�l'���/�'h <br /> co <br /> , � m t-�i <br /> N, $, E, W -• c ' <br /> 03 <br /> � m <br /> � NOTES = -Zi <br /> m <br /> .. <br /> oz <br /> `��v�rL �i�. '�� <br /> � <br /> a --i <br /> (�j(a/'� 1 l"Ll--�S� � _ <br /> �. � <br /> =i ,n , <br /> NZo � � 15�.1`� � � � �, <br /> s�-u.�c. 304-8. + 5 y 2 0�/ � -' � � <br /> _ <br /> m -+ <br /> � in <br /> � ri <br /> D G � �� j <br /> � � �r � I SEWER CONNECTION CHARGES ` m V+ <br /> p z � i <br /> �' �� �f"f��� ' YEAR TRUNK 3 _ '{q <br /> �, LATERAL - p <br /> �� , , --� <br /> TOTAL CONN[CTION CHARGES S _ <br /> � p�1/ .— a <br /> : z <br /> , � � �p, �� r�'f��� - -- � <br /> �,J��u�"�Lt„n � b �� e�o �, � <br /> � �� �,R SEWER PER�J�IT � EE o I <br /> /��/ '� � CATCH BASIN PERMIIT FEE '� � <br /> �'"'� � TOTAL SEWER PER��11T FEES b - ��" <br /> . �,, ���j��� <br /> (7) MOIJ7HLY SEWER CHARGES: <br /> SEINER CONSTRUCTION TRUCK E <br /> LATEftAL <br /> SEWER SERVICE --- <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: '-�� � N�'9 �'V 4'- �f <br /> f3�o�waY �� 'Tr�� 5 r ,v ti.n,o<,� ��,�vzox �i -m.. ,� 2.� ��_ �.= <br /> �U!" M l� N�r.J �LU'(415� '[`7�OM7CJl11� A-�-� CHARTD'Z�-z'4-S <br /> R-/�Paox Lc9 F�-r 'C7��f' �- <br /> INFOCOP.IPILED Bl': _ DATE <br /> APPROVAL: DATE <br /> s•sa <br />