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�� <br /> -, <br /> -, � <br /> DEMRTMENT OF GOMMUNIT DEVEIO�MENT S�„VICES <br /> BUILDING PERMIT INFORMATION <br /> 11DDRESS ��Z �L7,C/O/� �. TYPE � '�e. <br /> (1) BUILDING PERMIT FEE �/� OAD' ' r' s 3/[0. 00 <br /> (A) PLAN CHECK FEE So.7p puc <br /> (2) PLUMBING 20•Oa � <br /> (3) MECHANIC/1l 25,00 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERM T ISSUANCE Z 3S� � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR�_INCH ��� �-'n`� �'�'p� <br /> (B) �XIST. WATER SERVICE, APPLICATION NO. <br /> (Ci APPROX. LOCATION G`�C'� MAc,J 4s�P�f !O� <br /> f,vo� �oF�vA�Q-�7CHART 5- �� � <br /> (5) 'DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE `LS FEET �g�l�DRIVEWAY(TYPE) S � Z � � <br /> S <br /> (7) STATUS OF EWER CHARGES: <br /> BOND DISTRICT _ FOOTAGE <br /> N. S. E, W <br /> I:•UM �iG.lLC.�...�.. <br /> �-._+y:��--�.{'� ���. 1, f-7J - <br /> '�"` -- No. ;- r e ,� evc+ <br /> I �.Q�.�f �i:./�r.�i�. . ,(�� �� �J �f �. IJ <br /> � ��-� /t�� r �J ""---- - --------- CITY TRI'sASURER'S RECEIPT <br /> � V4':�::F? '�/. .'iin . i CITY OF EVEREf7,WASPoNOTON ��201 <br /> / , ..._��=...°.3-- <br /> .�:1 ]/� /� / Crtv Crnom 'Do nG Our JOD ol S�mt� <br /> G/Y'4 .Z f(-! � .. � �.� (,La-� �y JLJ N•�tn O.q�en0 EsceiisMe <br /> ��/' . — � ,-�-7J:Sw•..L �...L._�._. <br /> i ✓ �s��:..�r� . .. . � . �_i'�5�- J�'c� t <br /> _ — — � �j / /p y�/ <br /> ___ . ._ I o�ic.'1-� _�1_//..'_�'/Q/ 1" . <br /> ---1 <br /> SEWER CONNECTION CHARGES �D <br /> YEAR 8 z- TRUNK 5 2�D • <br /> LATERAL ¢��• �O <br /> TOTAL CONNECTION CHARGES S � 2O � V O <br /> � �y� <br /> SEWER PERMIT FEE a �lay/Q �'S '�_�� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 3 �'�v <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S �' � S <br /> LATERAL 2'2`�" <br /> SEWER SERVICE �' `-�� � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: S���+rpcN �iFT � tY� <br /> �. o� �io,r.,vA D� �� � I..Qo Lo-c�e.ac. To Pee� L�,�,� . <br /> CHART 5� �� 28 �� <br /> I- INFO COMPILED BY: DATE <br /> APPROVAL: � DATE <br /> c/vc <br /> ,� <br /> . /'Ll�n ii .� ' <br /> 41J9 � � / <br />