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i' 1 <br /> DETARTMENT OF COMMUNITY DEVELO►�NT SERViCES <br /> BUILDING PERMIT INFORMATION �, <br /> ADDRESS ���D �soY �c, TYPE GOMM . <br /> (1) HUILDING PL-RMIT FEE 74BBO� � S 23�'.� <br /> (A) PLAN CHECK FEE ���� <br /> (2) PLUMBING a(p• U C� <br /> (3) MECHANICAL 2 �Z • �A <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE 3? S ' <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART S� I � (O <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- /D� DO <br /> SUANCE _ rZ0 FEET �SPffAC+T DRIVEWAY(TYPE) S <br /> E <br /> (7) S7ATU5 OF SEWER CHARC[5: <br /> BOND = D�STRICT __�FOOTACE _� <br /> r!, s, Q w <br /> N07E5 <br /> so��e� ��u� c,u,�,� �n- oe,n ��9-p,c� <br /> �� � <br /> r�32�•oa <br /> ` <br /> '���rn°�' p�E7wt�� SEWER CONNECTION CHARGES <br /> �R(-Sri�t� S •� � YEAR 8v TRUNK E �9' 77 <br /> I ������ LATERAL �24% 3a <br /> ��s-�oa.�,rs � �st� /v9•D7 <br /> 59.?5 Ocu� TOTAL CONNECTION CHARGES� S <br /> �-�t �r'�-�sr ,3�, 7 <br /> (��till.� G40Y � SEWER PERMIT FEE � �/�1/� S .30.Bb <br /> �, <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5 �' �� <br /> (7) MONThILY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK f �•�8 <br /> LATCRAL 2•¢9 <br /> SEWER SERVICE M��m <br /> APPfjOK. LOCATION OF SIDE SEWER OR TEE IN THE MAI�J: ���Mo�,d,/�r G.bov <br /> fi � /1 ' �idT To PfG dpo�,O,r 3o F �'_ 5 BF. M•.'J, � Sr <br /> pppQ.OY 4- �T 'D�M. _ CNART P"' �'- 2S�' <br /> INFO COMPILED BY: _ DATE _ <br /> APPROVAL: DATE _— <br /> 9-1 J9 <br />