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. <br />�� , <br />3� � � � ,rxa; <br />DEPARTMENT OF COMMl:Y1TY DEVELOPMENT SERVICES <br />BUILlDING PEI�MIT INFORMA,TION <br />+ ADDRESS —I �I-7_� �-o"`-c�-�. 2`ou�' �c�. - TYPE ��12 <br />(1) BUILDING PERMIT FEE �,L[]�DOO'�� g ,_ �L3Y�-OC� <br />(A) PLAN CHECK FEE /�•�� Du� <br />(2) PLUMBINC �Z��� <br />(3) MECHANICAL .S.SD <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMI? 155UANCE �8�• �� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATIrJN NU. <br />(C) APPROX.LOCATION ln` o-n,:�.n= r�aP2ox 6�� t1J o� <br />ct� c:� ��uk�-r �F Ll;rxl CHART �- �Z-2,�- � <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />DRIVEWAY (TYPE) S �' �� <br />SUANCE <br />FEET <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND DISTRICT •� FOOTAGE _�_ <br />NUTES <br />N, S, E, W <br />r>,; k � rc ,:;x <br />xte , � <br />� ' � i' <br />'����. � Y� . F �.. .��+ie.'t <br />SEWER CONNECTION CHARCES <br />YEAR �`� TRUNK <br />LATERAL <br />TOTAL CONNECTIC)N CHARCES <br />SEWER PERMI�i FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />$ 270,Od <br />dso-o a <br />� �ZO.vO <br />S ?�O`DcJ- <br />S <br />_� s r <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAiN: L/3T �r-� t/�,+9`Y• ?n r''X..O <br />Q� 1 �-t uG 'l�L-7'Tt� (.I.LiK.�GOc.I:l1 �7 .�PP,C��r /75_r"7 F-� 6� <br />�j �� rc CHART � �Z-28�'" <br />INFO COMPILED BY: <br />APPRUVAL: <br />41•79 <br />DATE <br />DATE <br />':e; <br />e <br />� <br />z <br />0 <br />� <br />.. <br />n <br />�� <br />.. .. <br />�� <br />..� <br />tn x <br />v <br />m <br />co <br />m o <br />� <br />�c <br />o� <br />m <br />-� z <br />x � <br />m <br />.o z <br />C <br />r = <br />1-1 I—� <br />-1 N <br />< <br />O A <br />�a <br />-i m <br />x <br />m � <br />N <br />O <br />o r <br />c-� m <br />C N <br />m <br />z n <br />1 r <br />• m <br />a <br />z <br />-� <br />x <br />n <br />z <br />-i <br />_, <br />N <br />z <br />0 <br />-� <br />� <br />m <br />