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7r' ��n��-�e_ <br /> - - � :�' ,J <br /> DEM�TMENT �F GOMMUNITY DEVEIOtMENT SE�VICES <br /> BUILDING PERMIT INFORMAT'ION <br /> ADDRE55 I3 �g A�C � � eN�'L7-�u�� �TypE GOMM . <br /> (1) BUILDIN� PERMIT FEE 3 ¢33��� <br /> (A) PLAN CHECK fEE 78•� �u�� <br /> (2) PLUMBINC 7 Z' V a <br /> (3) MECHANICAL ��• �v <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT 155UANCE SbO • <br /> (A) 70 GE DETERMINED BY BLDC INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. . <br /> (C) APPROX. LOCATION `���a� � dAACOX /5 � � 6� <br /> 9� O'r Q.��lJ. CHART R (7-29^S <br /> (5) DRIVEWAY PERMIT i0 BE PAID PRIOR TO BUILDING PERMIT IS- J I <br /> SU/1NCE FEET DRIVEWAY(TYPE) S � ! <br /> E <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE �De�/��� <br /> N, 5. E, W <br /> NOTES <br /> .�16� D�/a:^t�PMe�rY ��L' <br /> a�-� 984�8s <br /> ¢ uru i r.� <br /> �Si4.� K, ,¢ �� �oSC� .`� <br /> SEWER CONNECTION CHARGES <br /> YE11R ' TRUNK 3 <br /> LATERAL <br /> TOTAL CONNECTION CNARGES 1 <br /> SEWER PERMIT FEE f �0'�a <br /> CATCH BASIN PERMiT FEE <br /> TOTAL SEWER PERMIT FEES f -�'�� <br /> ; (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8� �/��v 4` B� a�"�•� <br /> . r� r �J �..�.A r� �.P�o2a k 38 rr 5 B� M•f1. t� APPP��r <br /> �o. 9 �7 D�� CHART R' n�Z'��`-� <br /> INFOCOMPILED DY: DATE <br /> APPROVAL: DATE <br /> s en <br /> i <br />