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i <br /> DEpARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BI� II DiNG PERMIT iNFORI�A►TIOf� <br /> ADCRESS � �IS Lvr=n,�-rro��e �,v� TYPE (JD�cn,v�- <br /> (1) Ul11LDlNG PE�MIT FFf �¢7� �plf.l�,�� S 8��• � <br /> (A) PLAN CHECK F[E Pr, i� l.a�.kEs � nu� <br /> (2) PLUMBING '�� �'4'� <br /> - - (3) MECHANICAI_ ��I• DO <br /> (4) WATER SEftViCF TL% SF PP•!: F:.�.)� TO BUILDING PERMIT f55UANCE 's��•�� <br /> (A) TG BE DE'fERNilI'•!�D BY BLDG INSPECTOR�_— INCH <br /> (B) EXIS'f. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. � C:.ATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- S3/1D� p <br /> SUANCE FEET DRIVEWAY(TYPE) b ��( <br /> b <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � DISTRICT FOOTAGE �31 <br /> N, 5, Q W <br /> NOTES <br /> `�wC�. Z��IQ.oPN�t�1T '�; <br /> c>r.zo 7�5 -� o <br /> �.�---� f <br /> 2S9a� x . �� Z - � �f�B.�/S <br /> SEWER CONNECTION CHARGES <br /> YEAR � '-� TRUNK 5 ���� 2� <br /> LATERAL SS SS�Q�3 <br /> TOTAL CONNECTION CHARCES 5 ����— <br /> G �3�- <br /> SEWER PERMIT FEE a � E ��•�� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES b �• � <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 3 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> _ CHART GI- L- '"!•$-S <br /> INFO CONIPILED BY: DATE � � <br /> APPROVAL: DATE ' <br /> 9�1•79 <br /> t.. . __ <br />