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' <br />� '• ; ' <br />.�EPARTMENT OF COMMU�'ITY DEVELQ...�ENT SERVICES ' <br />BUILD�NG PEi�MIT IF-JFURMATION <br />ADURESS �612 Lower xic?ge xd. sverett, wa 98203 TYPE _ <br />(1) BUILDING PERMIT FEE (� SDc�- B� <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) �v1ECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO FIUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR�I���NCH <br />(B) EXIST. WATER SERVICE, P,PPl.ICATION NO. <br />(C) APPROX. LOCATION <br />h �� • <br />$ 2!?-a� <br />po. d4z�8 <br />l4 �c5 D <br />�- � a _ <br />(yQ-dU <br />CHART <br />(5) DRIVEWAY PERMIT TO 6E PAID PRICR TO BUILDING PERfv11T IS- g'�� <br />SUANCE 11 =EET G6�G DRIVEWAY(TYPE) S <br />g �J � �, 5—� <br />(7) STATUS CF SEWER CHARCES: <br />BOND '� DISTRICT � FOOTAGE <br />N, S, E, 1N <br />NOTES <br />��c c.�. �c � G t�-A. eu.� m�eo l� [a 4- g,� <br />,1 t� �.. S.��,�s. 2 2 l_� a <br />SEWER CONNE�C�TI�ON CHARCES `d7,s� <br />YEAR TRUNK $ <br />LATERAL ��� ,�-� <br />TOTAL CONNECTION CHARGES$/�,//`� $ <br />���ti`1 $ �D�Da <br />SEWER PERMIT FEE � <br />CATCH BASIN PERMIT FEE ��-Q.� <br />TOTAL SEWER PERMIT FEES $ ___ <br />(7) MONTHLY SEWER CHARCES: <br />�EWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />SEV��ER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED 3Y: _ <br />APPROVAL: <br />$ B • 2a <br />—� <br />CHART �' �Z- 28 --� <br />DATE <br />DATE <br />