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..EPAMTMENT OF GOMMUNITY DEVELO►..iNT SEIIVICES ^ <br /> BUILDING PERMIT INfOt�Ib9AT10N � <br /> ADDRESS �� ( a . Gsbc n TYPE _�_MM . <br /> (1) BUILDINGPERMITFEE � 30�D00•� S 332 • �Z+ <br /> (A) PLAN CHECK FEE p" • 4'9Zag <br /> (2) PLUMBING �2 � � <br /> (3) MECHANICAL ¢�'�� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 37S' � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCH � I�4�� s`�'p��r <br /> �� (B) EXIST. WATER SERVICE, APPLICAT!ON NO. <br /> (C) APPROX. LOCATION ��� G •t MOr,v e�aekmx 1 C� ►�-r <br /> f% d� �_Ar C,�s�..��i�CHART '� �� � <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDIIJG PERMIT IS- <br /> SUANCE 2 5 FEET �b►� DRIVEWAY(TYPE) S �2' S� <br /> s B39�so <br /> (7) STATUS OF SEW[R CHARGES: <br /> BOND ZZ DISTRICT �- FOOTAGE Ts <br /> N• '' E''L% <br /> NOTES <br /> B r.a� ��5'— B o 5oevo c. �it�ex Co,�.,�...ct,a..� <br /> /��¢� 2 d- Pc.y. { 87Cn� B`� <br /> SEWER CONNECTION CHARGES <br /> YEAR 8� TRUNK S 2��' n�5 <br /> LATERAL 4'L2 50 <br /> TOTAL CONNECTION CHARGES � f �� �' �� <br /> SEWER PfRM1T FEE ���g�`�A S 7 - Ba <br /> CATCH BASIN PERMIT FEE I°I <br /> TOTAL SEWER PERMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK % �• �S <br /> LATERAL - 2'2'S <br /> SEWER SERVICE M'�"�'�' <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 0' M(uu � e� �g�o ��� <br /> r�"�.1-r TO P�,( /S�D2CY ll9P� S oe� N►ld t 3 �-.� G,e�r.�o �Le� <br /> Dso�- L�e. � �eP2fh �FT b� CHARTY - 7 '2g-S <br /> INFO COMPILED BY: ._ DATE — <br /> APPROVAL: DATE - <br /> i <br /> 41 79 <br />