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_.� <br /> � DE�ARTMENT OF COMMUN'ITY DEVELO�MENT SERVICES <br /> �_ <br /> BUILDING PERMNT � NFORMATION <br /> ADDRESS TYPE ��2- <br /> (1) BUILDING PERMIT FEE ���0 '�� � 2��'� � <br /> (A) PLAN CHECK FEE ��- `4 ���� <br /> (2) PLUMBING �¢' �� <br /> (3) MECHANICAL �'S� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �GY�- d� <br /> (A) TO BE DFTERMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION ���N/��� �P�-� �5�7 � � <br /> `� �= LC.tI-�"L��/��HART �-/2 -28 -C� o <br /> — �_ � <br /> (5) DRIVEWAY PEKMII lU 8E f'nlU PRWR lU (iUILUING PLFtMII IS- r, <br /> $UANCE FEET DRIVEWAY(TYPE) S 2C7' �� .__ 'T <br /> $ -- i � <br /> .. -r <br /> (7) STATUS OF SEWER CHARGES: `^m <br /> BOND � DISTRICT FOOTAGE ' �„ o <br /> n <br /> ' N, S, E, W o � <br /> ; r*; <br /> NOTES = �i <br /> �, <br /> QZ <br /> c <br /> a -i <br /> �.�-'�/.O[� SC� G,El�T-f�.-�je=.3 � .r. � <br /> � � <br /> � <br /> GJ2� ��- �3-3 o z <br /> s.,c'.,e �r ��_O V = � <br /> m � <br /> N <br /> O <br /> or <br /> c� m <br /> c �n <br /> 3 v� <br /> SEWER CONNECTION CHARCES '" <br /> YEAR 8¢' TRUNK $ ��O`0� � m <br /> a <br /> � A <br /> LATERAL — � � <br /> TOTAL CONNECTION CHARGES $ —_ ���'� � <br /> � <br /> _ <br /> SEVVER PERMIT FEE $ '���� '� � N <br /> Z <br /> 0 <br /> CATCH BASIN PERMIT FEE � -' <br /> TOTAL SE�VER PERMIT FEES $ ��'�d � <br /> (7) I.10NiHLY SEWER ChIARGES: <br /> SEW"R CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. I.00ATION OF SIDE SEWER OR TEE IN THE MAIN: L�°7 A-rmP.eE�,c ��� /T <br /> �cl �,c .� </ �8 .� .Es��ax io�T �� ,a> P/: — <br /> CHART ��—��—Z�'-¢ <br /> INFO COMPILED BY: _ DATE <br /> APPROVAL: _ DATE <br /> s•an <br />