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. `i <br /> OEM...MENT 0► COMMUNlTY DEVEIO�MEN1.�cRVICES <br /> BUILDING PERMIT INFURNIATION <br /> 1 ADDRE55 TYPE C����/1 _ , <br /> (1) BUILDING PERMIT FEE Sd�DoM• °`' E 3�3 c�o . <br /> (A) PLAN CHECK FEE l�lv.� S�IsZ7 <br /> (2) PLUMBING �2 •[�c7 <br /> (3) MECHANICAL 3 7. 'S� "� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE s�5- °`� <br /> (A,) TO BE DETERMINED BY BLDG INSPECTOR_ � INCH ��� g�1 S"'���' <br /> � (B) EXIST. WATER SERVICE, APPLICATION NO. ���'s"'�' <br /> �t�m+u,ry ✓ac u;- <br /> r�O iC) APPROX. LOCATION 2"'�nnini ,oa�p,2«- S� E o� �. rn,oY /�s ,�t,�',vJ <br /> O�_<,uc�r.�..�.�7 �it.� CHART_ �-17- Z9-� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUAN(:E FEET o�- ��i DRIVEWAY(TYPE) S _ <br /> b g 3'7, S� <br /> p) STATUS OF SEWER CHARCES: <br /> BOND DISTRICT _FOOTAGE ��¢=u�n <br /> N, S, E, W <br /> NOTES <br /> s� �rn2c�iti��7 -Fl�a <br /> c9eo cocn9-BO <br /> d� 9 <br /> 4 u,v �ss - ��57 s ,o z� <br /> .�a-4 <br /> y��,Z/�� SEWER CONNECTION CHARCES <br /> YEAR S � TRUNK 5 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE a �'z S�S 3D� d0 <br /> CATCH BASIN PERMIT FEE � �O '4U <br /> TOTAL SEWER PERMIT FEES y/��/� S ¢D• DO <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONST�UCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE �C�E"� <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8 M�«/ � �f' ��'�- `I <br /> TCC /M Nl.o .t/ LLI�iOOst �.D'L �T /�-� OF MF/, ff/�C.r�! �'L�'� � <br /> � C�¢��.D � ds�i•doc /4. 2 ' I��. CHART�-/7-29- �� <br /> � INFOCOMPILED BY: _ DATE <br /> APPROVAL: _ DATE <br /> 9�1-79 <br />