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. . �-_ <br /> . <br /> � . <br /> DE�ARTMENT OF COMMUHITY DEVELO►MENT SE�VICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS ��0� �.Ll+'M�Pr Lffi TYPE ✓���� /�'►• � <br /> (1) BUII.DINC PERMIT FEE • ���0�' b � ' �� <br /> (A) PLAN CHECK FEE p�' $��53 <br /> (21 PLUMBING SO• C9� <br /> (3) MECHANICAL �� S�� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � '�� <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART s'g5 � Z9^'� _ <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TQ BUILDING PERMIT IS- � <br /> SUANCE FEET —_ DRIV�WAY(TYPE) S _ ,� � <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES , <br /> ' � . � <br /> . . : <br /> oR o z ����� 8 �' <br /> ���-z�A� u-nu��-; � <br /> �lZa �221�. � <br /> SEWER CONNECTION CF::IRGES .� �,.,� � <br /> YEAR , �� TRUNK 5 ��'Q� <br /> LATERAL ' �� <br /> TOTAL CONNECTION CHARCES g � �I� S� _ <br /> � � , <br /> SEWER PERMIT FEE � �O•DD <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER P[RMIT FEES S ��'�� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUC710N TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE �EWER OR TEE IN THE MAINt: �O ��FoQ�nA'�lON <br /> OIS "JC.�,tJE]2 'bTu.PS C_OGA►TLO�,�I ' /-s� tsulLYG A..to7 ���'Z2.lFtGo <br /> v� t�l�f�t-►L {h4�s A.ILNl�2. l.cx,1.7�+'+ STu1S CHART 5- 3b '2�1 �� I <br /> w'.: I <br /> INFO COMPILED BY: DAl'E <br /> APPROVAL: _. DATE <br /> 5•84 <br />