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� <br /> DEMARTMENT OF COMMUNITY DEVEl6' .T SERVICES <br /> � BUILDI�VG P�RMIT INfORMATION ,' � <br /> � <br /> ; ; <br /> � <br /> , � _ � _ _ -- -�- - .; �' <br /> .�.j,--- ---"�--���--�. <br /> IIDDRESS - ' � wo �rB- -`-'-�-'T��".�.�:.'-. _ . .___ <br /> �- � (1) BUILDING PERMIT FEE l.�O, G�•� � s �3.on <br /> � <br /> t (A) PLAN CHECK FEE �o-� �`��z'd' - <br /> i (2) PLUMBINC 20•OD <br /> (3) MECHANICAL 22'Sa <br />' � (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE �� " �� � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 3�((c_ INCH <br /> 1 <br /> � (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> i • <br /> ( CHART <br /> i � <br /> � <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- " <br /> SU/1NCE FEET DRWEWAY(TYPE) S �� � 0O _ m <br /> S • � ..... <br /> -r -n <br /> ..� <br /> (7) STATUS OF SEWER CHARGES: o= <br /> � BOND •� DISTRICT FOOTACE m� <br /> N' S' E' W o � <br /> NOTE$ m � <br /> � . .. <br /> .o z <br /> � �ZC.��C G4t� / .��, C+t5a9fsb r x <br /> � O�'.O `1�9�-�3 �n <br /> � �-F-,Q-�s. � ���� o� <br /> � -� m <br /> x <br /> � m.. <br /> N <br /> O <br /> or <br /> . nm <br /> C N <br /> 3 vf <br /> � SEWER CONNECTION CH�RGES �� <br /> ; YEAR �� TRUNK S 330•Oa ' p <br /> ' LATERAL 345. U c� _ <br /> � TOTAL CONNECTION CHARGES S �z' S ` � z <br /> j s <br /> .. <br /> i G, N <br /> SEWER PERMIT FEE s 3�'� o <br /> � CATCH BASIN PERMIT FEE -' <br /> � TOTAL SEWER PERMIT FEES S �'� "' <br /> � (7) MONTHLY SEWER CHARGES: <br /> � SEWER CONSTRUCTION TRUCK � S <br /> � LATERAL <br /> I SEWER SERVICE <br /> iAPPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: _� <br /> I <br /> CHART �' -"�- �� -`� <br /> i <br /> ' INFO COMPILED BY: __ D�1TE ��"z� <br /> APPROVAL: _ DATE - <br /> , <br /> i <br /> i <br /> 41J9 <br /> L -.I <br />