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!'� _ - . <br /> uiPARTMENT OF COMMUNITY DEVELOPmENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRE55 TYPE �'�� <br /> (1) BUILDING PERMIT FEE �d��. �° b ( 8'j, BO <br /> (A) PLAN CHECK FEE pD•� Sr9sQ <br /> (2) PLUMBING 2m, pa <br /> . (3) MECHANICAL � B.�O <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 2 3.�5'� �v <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR� INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 4�'h.C, Mp�u hf�Pa.mx I P7 <br /> N ee � OF Co�u......�''O�RT �7—�4 D <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br /> SUANCE —""' FEET DRIVEWAY(TYPE) $ <br /> g ¢�O�DD <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �- DISTRICT 2 �J FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> 6P�.c�.�. Saue�rt C�+-�. ,� <br /> �est. ma.o �o.cn4— gr� — <br /> �J•�.' �2�23. o0 <br /> � SEWER CONNECTION CHARGES <br /> YEAR 8a TRUNK S 257• �d <br /> LATERAL Q22•50 <br /> TOTAL CONNECTION CHARGES a G77• 'S� <br /> SEWER PERMIT FEE �^ � ��l o��f 30. �Y7 <br /> CATCH BASIN PERMIT FEE �j�I <br /> TOTAL SEWER PERMIT FEES a 3 � ��O <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S �'�5 <br /> LATERAL 2 •25 <br /> SEWER SERVICE 3.80 <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 6' M.��.� � 6� C'��.�uv+ei► <br /> �LLJ, Lor To f��� QPP2t9� SlQ 'F=r t� Or M �! 21 I E4 �Crf�x <br /> Brr 'D�a� a-r P��. CHART G'8-�"5 <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> �i�v i <br /> r �`1 <br /> ?1-79 <br />