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� .. <br /> '�:� F�, ; <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> � UILDING PEi�1�4. l1f 19VFORMl�710N <br /> ; <br /> ADDRESS _ TYPE C�MMG. , <br /> (11 BUIGDING PERMIT FEE �2,/l�CJj oOD.ob ' g 558�.�oO ,.:'ti <br /> (A) PLAN CHECK FEE �. � ��ZS/ � <br /> . . ., . <br /> (2) PLUMBING . . . l52�Op . • . <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO EiE PAID PRIOR TO BUILDING PER�v11T ISSUANCE �0`='�' , <br /> (A) Td BE DETERMINED BY BLDC INSPE:.TOR �l INCH # �'���' <br /> (B) EXIST. _ WATER SERVICE, APPLICATION n0. ��, ¢Z48 <br /> ... <br /> (C) APPROX. LOCATION _ _ . ' <br /> , , ., . , ' . �� • +;; <br /> CHART • � " , <br /> , . .. . . � ,�, , .�`, <br /> (5) DRIVEWAY PERMIT TO B[ PnID PRIOR TO BUILDING PERMIT IS- <br /> , , � t •. <br /> SUANCE FEET _ DRIVEWAY(TYPE) S <br /> $ <br /> (7) STATUS OF SEWER CHA�GES: <br /> BOND _ �� DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> 5Bl� Z��/. ��`E <br /> c��zr� --gS .���/�� //7�-� � " ;��> <br /> ; <br /> /� 7 2c�� �rc6 . <br /> , <br /> , • 3 � 25�. S¢ �v,aT� <br /> c i 25,toD CPlo-72. 2U S�Lv <br /> SEWE COKII�7ECTION�HAR S 4� <br /> YEAR -'_TRUNK S � <br /> ----_ �' <br /> LATERAL � <br /> TOTAL CONNECTION CHARGES S �/ •�', <br /> �: <br /> SEWER PERMIT FEE S 3�'�a <br /> �— <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES "� '� <br /> (7) MONTHLY SEWER CHARGES: —� <br /> SFWER CONSTRUCTIC�N TRUCK S <br /> LATERP,L <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: � " • ' � <br /> CHART <br /> , , <br /> INFO COMPILED BY: DATE <br /> APPROVAL: - - DATE <br /> % c j�� �K C1p <br /> . l . ,,� �/ � / �� . . .�.:]'. <br /> 5•84 � `� ' . � . . . .. 1 � . � � . , � , •` <br /> � � , `1 <br />