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...: . <br /> f-' "� <br /> DEMRTMENT OF COMM�NITY DEVEIO�MFNT SERVICES I <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS �'S�v G����C/.8-t� TYPE 5'ti�-� !"a�/�c.Y � <br /> (1) BUILDING PERMIT FEE �35, F��"`� s ���• ��� <br /> (A) PLAN CHECK FEE �� �f 2/ 7 � <br /> (2) PLUMBINC ''' " ` � � <br /> (3) MECHANICAL S�O.S � � <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � U�� �� <br /> (A) TO BE DETERMINED BY BLCiG IN�PECTOR ��`� �� INCH <br /> (8) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) 3 Z�� OC/ <br /> , S <br /> (7) STATUS OF�WER CHARCES: � <br /> BOND DISTRICT FOOTACE <br /> N, S, E, W <br /> NOTES <br /> �TJ/�c.. U',TI[..� rT-� � <br /> G�� //7/--8 S� <br /> ;��2�7 �� `1• °° <br /> ��x� �1-71� <br /> �s���0�' <br /> SEWER CONNE TION CHARGES � <br /> YEAR TRUNK 5 Z�O- O� <br /> LATERAL �� � �� <br /> TOTAL CONNECTION CHARGES 5 7 Z� � �D <br /> SEWER PERMIT FEE b �� �� <br /> CATCH BASIN PERMIT FEE �' �J <br /> TOTAL SEWER PERMIT FEES b <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: _ DATE <br /> APPROVAL: DATE <br /> s�ea <br />