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___ _ _ . <br /> r <br /> � <br /> � � J <br /> • ' � DEMRTM[NT OF �OMMUNITY DEVELOIMENT SERVICES <br /> BUILDIN� PERMIT INFORMATION <br /> ADDRE55 /��r �v4�/ax�-� G ,�a./� TYPE �'✓'�c.:lrc�- �.v.� ,��.s <br /> (1) BUILDING FERMIT FEE ��'�i�'v� S `�'`�S ' s� <br /> (A) PLAN CHECK FEE ��'� S�� <br /> (2) PLUMBINC 2� ' �d <br /> (3) MECHANICAL 3U- O U <br /> (4) WATER SERVICE TO !3E PAID PRIOR 'f0 EiUILDING P�F:l�tIT ISSUANCE ��- � _ <br /> (A) TO BE DETERMINED BY BLlJG INSPECTOR __ _INCH <br /> (8) EXIST. WATER SERVICE, APf'�.ICATIC)N NO. <br /> (C) APPROX. LOCATIO��'�.�-L���- dF�ox ¢fT <br /> E <br /> B6 �_� GO,e OF L�T H 1RT �� `� a'`__' . �4`C� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SL'.ANCE FEET DRIVEWAY(TYPE) S 2��` D v <br /> 3 — <br /> (7) STf.TUS OF SEWER CHARGES: <br /> BOND �� DISTRICT FOOTAGE <br /> N. 5, E, W <br /> NOTES <br /> ��D //7/-g S <br /> S��vt�c� �i�.�.�. 2r�-s <br /> !�l U ��j. 'Z`�• �� <br /> SEWER CONNECTION CHARGES <br /> ' YEAR TRUNK 3 <br /> LATERAL -� <br /> TOTAL CONNECTION CHARGES 3 <br /> SEWER PERMIT FEE S J���u <br /> CATCH BASIN PERM'.T FEF. � <br /> TOTAL SEWER PERMIT FEES E ��" � v <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LCICATION OF SIDE SEWER OR TEE In THE MAIN: '-`���/�--�'� �' �� <br /> A�P�o� �o �T �_ ��- s. �v �oe � o r__ <br /> CHART `-'��'�2� `� <br /> INFO COMPILED 8Y: DATE <br /> APPROVAL: DATE <br /> 5-84 <br />