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- � -- <br /> I <br /> DEPARiMFNT OF �OMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERMIT IN �ORM�►TION <br /> ADDRESS < <� �� •� ��E-- -�?�" Mr-�i-.�. �I�YPE CGNniv7 <br /> (1) BUILDING PERMIT FEE s/E�Sp00. �� $ �S���Z� <br /> (A) PLAN CHECK FEE �7• �8 d���� �, <br /> (2) PLUM@INC 'Z�' eL� <br /> (3) MECHANICAL _ I��G�c� <br /> ��-- ��r <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �` <br /> (A) TO BE DE'lERMINED BY BLDC INSPECTUR � INCH �+lc((c�c.-r�� <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. f�v � <br /> (C) APPROX. LOCATION ���/-n.� �.c% A-n�2�h '��-�"7 <br /> �� �-7Jt�t7f� r <br /> S o� d2,oe� ,,�, ,��/ie9CHART. Cv -3c.> > <br /> � <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TU BUILDING PERMIT IS- <br /> �v <br /> SUANCE 2 --�� FEET A�=�"�i�AV�r DRIVEWAY(TYPE) S �2" — <br /> g •-c.���-�v� <br /> (7) STATUS OF SEWER CHARGES: S��' � � <br /> BOND `i-L�- DISTRICT FOOTAGE ��(� <br /> � S, E, W <br /> NOTES <br /> �,U(Z> �?�JC�G{�f-�U�r.i'( ��.� <br /> �r�K� � `i IS-�'� �� <br /> l'oi`�v�� � 2 <br /> FX�--iG.u`-'�,elx� '��:u��F <br /> �P C�'�R . Uu <br /> SEWER CONNECTION CHARCES <br /> YEAR �� z-- TRUNK S 4Z"z•4'� `� �" <br /> LATERAL �"'� <br /> TOTAL CONNECTION CHARGES S ¢ z Z � `� <br /> SEWER PERMIT FEE ,',�/ �f � � �I $ ��`�a <br /> CATCH BASIN PERMIT FEE ,�- � l�'� �D� <br /> TOTAL SEWER PERMIT FEES _.yl`,t'�I� � ' �� •�lU <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S Z�'�' <br /> LATERAL <br /> SEWER SERVICE Mc'n"�� <br /> APFROX. LOCATION OF SIDE SEWER OR TEE IN THE NiAIN: �'� ' � � «� ` �-' • S' <br /> ��=r-.,cX-� � c� ,c.) ti-/ 1 � ' c� F- LE.� 'Ts l 2 S 'a. ? ,t-YP�,2�'c <br /> `7 f=7 �C>c-��P. CHART A` '� d-Z$ -'� <br /> I INFO COMPIf_ED BY: DATE <br /> APPROVAL: DATE <br /> 9�1-79 <br />