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� <br /> , <br /> � { <br /> j • DE►A�TMENT Oi �OMMUNITI' DEVELO�MENT SEIIVICEf <br /> � BUILDING PERMIT INf�ORMATION <br /> � <br /> , <br /> r � ADDRESS �y�8 C«u*��9 C <br /> TYPE �'`�ti7 <br /> (1) BUILDING PERMIT FEE �///�L�fJ•�v s !.�lO�•5� <br /> (A) PLAN CHECK FEE P�• '`� �9807 <br /> (2) PLUMBINC lo�J•OD <br /> (3) MECHANICAL `�<j�. �7J �2 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE '��� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR - � INCH �^�' <br /> (8) EXIST. _ WATER SERVICE, APPLICATION NO. <br /> (C) /�PPROX. LOCATION IZ l��J/d/A� n,�f�,c.���_ /s �-� <br /> GV DF E �' �l� L%AJ�CHART P- 1 ?- Z6 - �` <br /> � (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SU1INCE FEET DRIVEWAY(TYPE) S <br /> s <br /> (7) STATUS Of SEWER CHARGES: <br /> BOND OISTRICT FOOTAGE /����Jo <br /> N, 5, E, W <br /> NOTES <br /> sQ�9e Ga�r7s[i i�srDd• l�-G-' <br /> I ��� � 98�-83 <br /> ' � 2�70. oc7 <br /> � <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> L�TERAL <br /> TOTAL CONNECTION CHARCES S <br /> SEWER PERMIT FEE f �--Q�'�� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES f ��•�U <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE <br /> r� APPROX. LOC1ITION OF SIDE SEWER OR TEE IN THE MAIN: � � �+i.oi.v � Oi'ac�c.rv � <br /> 'Tf� i.ei .�>,� iiJ .U}�'�L�L�X /D� F> � 7�7 /1-C.st) Teo7t ia� ! <br /> I <br /> _�f_�lv' /4�•➢ �r � 13.r t7��.o. .a t, D� CHART �- /7-24-) <br /> M.i•/. .vK ti� ,ct��Y �' � .�,�u� <br /> INFO COMPILEU BY: D/1TE <br /> L APPROVAL: DATE <br /> i <br /> }1-79 <br /> („ —. ._.__. _ <br />