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DE►AKTMENT OF COMMI'NITY DEVELOIMENT SERVICES <br /> B�1ILDING PERMIT INFORMATION <br /> ADDRESS � �07 G2�' aV � TYPE � � �� <br /> (1) BUILDING PERMIT FEE 5&��' �`�� b 3d7. c� a <br /> (A) PLAN CHECK FEE nd ' # �9�Z <br /> - (2) PLUMBING 20•[90 <br /> (3) MECHANICAL �� � ' <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 2 �`�' � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR�—INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. � <br /> (C) APPROX. LOCATION �� � M��� ��Q� �� �T <br /> Cl� <br /> lJ O� � OF �LL-s�HART S - / O�T 3f'Zy'� <br /> (5) DRIVEWAY PERMIT TO BE PAID FRIOR TO BUILDING PERMIT IS- `� �� <br /> SUANCE 2 � FEET GmNG• DRIVEWAY(TYPE) 3 <br /> b �&Q. SD <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND �—DISTRICT FOOTAGE �'r ' <br /> N, S, E, W <br /> NOTES <br /> �LUf� Dc�J�Z�°�[�7 ��� <br /> �,PO Lo Le 9- F3 O <br /> �� � <br /> h.F',P-c�-s 2 2l � ,<��.}r�.�;� . , . . <br /> . <br /> SEWER CONNECTION ;'HARGES <br /> YEAR � � TRUNK 5 27d��a <br /> LATERAL ¢ � � � <br /> TOTAL CONNECTION CHARGES 3 77'� � ��� <br /> o��° `� s 30�- oa <br /> SEWER PERMIT FEE Ip <br /> CATCH BASIN PERMIT FEE glaT <br /> TOTAL SEWER PERMIT FEES b �'� _ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 � !s <br /> LATE RAL 2 '� �� <br /> SEWER SERVICE G� � <br /> APPROX. LOCATION OF SIDE SEW R� OR TEE �N THE MAIN: g � MA�,�.� .�P'o2�� <br /> � DF CTZC.��T �LL�-tir,_, La-r � P�. �,e. �c� <br /> T� tsJ MAc ,tJ, CHART��r-31-24- -5 <br /> INFO COMPILED BY: DATE � <br /> APPROVnL: DATE <br /> 9�1•79 <br /> � <br />