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� <br /> , ,� , ; •., <br /> � � DE�ARTMENT OF COMMUNITY DEVELO�MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> � ADDRESS 4�/3 ��-��/wf�Jr� `.�Uc TYPE S�F � <br /> (1) BUILDING PERMIT FEE � 5�3oc�O• �y E 3U7 . °� <br /> (A) PLAN CHECK fEE �s• �-'� ��t= - <br /> (2) PLUMBING 2�' �a <br /> (3) MECHANICAL �y' �� -� <br /> 1 (4) WATER SERYICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE jyo - eu <br /> (A) TO BE DETERMINED RY BLDC INSPECTOR �L�- INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPRQX. LOCATION ti >�K/�-��a Tv P�� /��'/'u"� <br /> C,o,c• c r Go7 = <br /> 2,��1` ��•(N CHART N- 3io ' Z9- ¢ � <br /> M <br /> (5) DRIVEWAY PERMI7 TO BE PAIt� PR�OR TO BUILDING PERMIT IS- m <br /> SUANCE FEET DRIVEWAY(TYPE) S �� ' �� <br /> b � � <br /> «. � <br /> '^_ <br /> (7) $TATU$ OF SEWER CHARGES: o m <br /> BOND � DISTRICT FOOTAGE m� <br /> N, S. E, W o� <br /> —� z <br /> NOTES r � <br /> .. <br /> .o = <br /> � <br /> D --1 <br /> rx <br /> M M <br /> � � <br /> •� <br /> � <br /> 0 � <br /> �S <br /> 3 <br /> -� m <br /> rc <br /> in .+ <br /> c� <br /> N <br /> O�"' <br /> C9 I'1 <br /> C3 V. <br /> f*1 � <br /> SEWER CONNECTION CHARGES = �' <br /> YEAR 8�' TRUNK S 2-7� ' �9 J � a <br /> A <br /> LATERAL -' <br /> TOTAL CONNEC710�I CHARGES 3 Z�� � v `J Z <br /> -� <br /> _ <br /> M <br /> N <br /> SEWER PER�AIT FEE s ?'�' �`� _ <br /> 0 <br /> — � <br /> CATCH BASIN PERMIT FEE r, <br /> TOTAL SEWER PERMIT FEES S 3E�- "� m <br /> (7) MONTHLY SEWER CHARGES: � <br /> SEWER CONSTRUCTtUN TRUCK 5 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �7u�'g� T� �'��- _ <br /> Q?1�s+x /� FT il./ 9L �J" h� GO.f� vF' �i�—C7L-= — S/�L' _ <br /> CHART �- 3�-zy-¢ <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9�1•79 <br /> r ..� <br /> � <br />