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DEPAR�NT OF CGMMUNITY DEVELOPMENT S�ICES <br />BUILDING RER11-11T INFORAhATION <br />��i;�iJ� rE �,�= S�c �. f:. �= . <br />ADDRESS tC c/LF/:'C-C�� �i j�Z� TYPE _ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUM8ING ' <br />f3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDIN�, PERMIT ISSUANCE <br />(A) TO BE DETERMINED [3Y BLDG INSPECTOR I�:CI-I <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPR(�X. LOCATION <br />� LC t- i� �!C' ? L <br />�G.L � <br />$ <br />— CHART__ <br />(5) DRIVEWAY PERMIT TO [3E PAID PRIUR f0 BUILDING PER�YIIT IS- <br />SUANCE FEET DRIVE NAY(TYPE) ev <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND DISTRICT <br />NOTES <br />�� ��_� <br />FOOTAGE <br />N, S, E, W <br />� -- <br />��C i ti i ; �-� <br />r«��: �«7��:� � <br />�,� C�u i'rrr �- ('��'�. ) <br />.r� SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LAT[RAL <br />TOTAL CONNECTION CHARCES <br />SEWER PERMIT FEE <br />r � i i � � � —T <br />� � i �, CATCH i3ASIN PERMIT FEE <br />, ' � � � � � TOTP,L SEWER PERMIT FEES <br />, L i I 4_� <br />(7) MONT�iLY SEWER CIiARGES: <br />SEWER CONSTRUCTION <br />b <br />�j <br />Ej <br />S <br />TRUCK $ <br />LATERAL <br />SFWER SERVICE <br />APPROX. LOC qTION OF SiDE SEWER OR TEE IN THE MA�PJ: <br />INFO COMPILED BY: <br />APPROVAL: <br />CHART <br />DATL= <br />D6�TE <br />