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m <br />•.., <br />, DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS ��'05 5• C. Evc-�-7T- M,o�-:-w�YTYPE ��'�/�'�- <br />(1) BUILDING PERMIT FEE �/�, OQD� �. �`3C� g 5/83. Dc� <br />(A) PLHN CHECK FEE ����� ���7 <br />(2) PLUMBING 23�•0� <br />(3) MECHANICAL �U`�� S� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE 'L�``; 2, Y z <br />(A) TO BE DETERMINED 8Y BLDG INSPECTOR INCH G��Z <br />(B) EXIST. WATER SF.RVICE, APPLICATION NO. `�'��'�3-7//•�8�-/ � <br />(C) APPROX. LOCATION ��� � � � <br />`' 6a — '�`�-0 <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S- f�, <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />�ue� D�/c�ov.��,vT F� <br />�ieG� 7i' S- E9 c7 <br />��1=-� 2 <br />.�; <br />7/, a3� `� �3J/• 2! <br />FOOTAGE �8 Z. 5� <br />N, Q E, W <br />SEWER CONNECTION CHARCES <br />YEAR 8� TRUNK S L��•�c� <br />LATERAL �,��• ��o3Y`� 9'ivl�.75� <br />TOTAL CONNECTION CHARGES g /7G�`/7 7y <br />a��9� <br />SEWER PERMIT FEE S 3 p• �� <br />CATCH BASIN PERMIT FEE � <br />TOTAL S�WER PERMIT FEES $ -�•�d <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />TRUCK � <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE �.1AIN: <br />INFO COMPII.ED BY: <br />APPROVAL: <br />41-19 <br />CHART <br />DATE <br />DATE <br />R <br />u <br />� <br />