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.__' <br /> ,�, <br /> . - - DEPARTMENT OF COM'MUNITY DEVELOPMENT SERVICES <br /> �_ 4 �� -" BUILDING �'IERMIT INFORMATION <br /> ADDRE55 TYPE � �� <br /> (1) BUILDING PERMIT FE� LOL�.� �• � 5 �ZS. Ob <br /> (A) PLAN CHECK FEE COZ•40 TJt.I� <br /> (2) PLI �MBING 2d -O a <br /> (3) MECHANICAL 2�•S d <br /> (�1) WATER SERVICE TO BE PAID PRICR TO BUILDING PERMIT ISSUANCFJS��6 CDD -O U <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 3�[+ INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. _ <br /> (C) APPROX. LOCATION STUP��bE� -7o O�r_ .O��Bx <br /> �� � GoT = <br /> �c� r�r W crr- �tOE CHART �— 31�-- 2 4— Y � <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- m <br /> SUANCE FEET DRIVEWAY(TYPL) S 2�-OC� " <br /> b i � <br /> .. � <br /> (7) STATUS OF SEWER CHARCES: N� <br /> 0 <br /> �BOND �' _DISTRICT POOTAGE mo <br /> N, $, E, W o m <br /> NOTES ,.�z,',� <br /> .. <br /> a z <br /> '. � ��'� �� c <br /> � _ <br /> .. �. <br /> � N <br /> oP�J . � 8� -�3 0 � <br /> S' �.'p- . = m <br /> F <br /> m.-� <br /> Q"Q in <br /> 0 <br /> � !/�� or <br /> J <br /> 3 N <br /> �s3 ��� SEWERCONNECTIONCHARGES � � <br /> YEAR �� TRUNK S 2�� •D� • q <br /> A <br /> LATERAL -� <br /> TOTAL CONNECTION CHARGES 5 Z7O• DO Z <br /> � <br /> _ <br /> ,. <br /> SEWER PERMIT FEE b 3O'� � N <br /> Z <br /> 0 <br /> CATCH BASIN PERMIT FEE -' <br /> TOTAL $EWER PERMIT FEES b 3�• �� —_ m <br /> (7) MONTHL� SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 ^ <br /> LATERAL � <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: L�u��� `i�!� -��"`— <br /> � �'� t.t/ ��•1SEr?+1�,Z/T slOJdC�.T/�T� JU PlL <br /> CHART '��' '�L-Z9- y <br /> INFO COMPILED 8Y: DATE <br /> APPROVAL: DATE <br /> 9•1•79 <br />