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� / <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES • • <br />BUiLDING PEi�MIT INF�CJRMATIO[��J� -- <br />ADDRESS /72 9/�/Ji.�Oi-SG�+l l T. TYPE _ GO�'`-'� , <br />(1? BUILDINC PERMIT fEE �«�i���' � $ ��3" �� <br />(A) PLAN CHECK FEE P�' � 5�4�y <br />(2) PLUMBINC �2, O � <br />(3) MECHANICAL ¢g� �J <br />6a <br />(4) WATER SERVICE TG BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 8��� �P`Y <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �Z' INCH ��� �ie� <br />(B) EXIST. .__ WATER SERVICE, APPLICATION NO. <br />io`* (C) APP^OX. LOCATION £3�� C s M�oi ��.nPeo 20 �T <br />�a <br />w <br />,�-[ e� �� �� Mcplsc:N HART S-t�� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br />SU:�NCE 25 FEET �2'� DRIVEWAY(TYPE) S z' ��' <br />g i�P�.Sc� <br />(7) STATUS OF SEWER CHARCES: <br />BOND �� DISTRICT s� <br />NOTES <br />Q�o 722-8 0 <br />��� � <br />¢-��,e� 1fCv�•O� <br />FOOTAGE � <br />N, Q E, W <br />a <br />�s�- <br />5 <br />J � � � � <br />�/r' �I��j�3' <br />� �� . <br />�� ,l. ��' <br />� ., <br />i' ; ✓ � <br />i��-; G .' q_, <br />J <br />/ {. "_ <br />/ <br />, <br />/ <br />SEWER CONNECTION CHARGES <br />YEAR 8� TRUNK S ��� ���' � <br />LATERAL �-SEr. ¢9o.c7a <br />TOTALCONNECTIONCFiARGES S j''�`�� <br />SEWER PERMIT FEE $ '�'�� <br />CATCH BASIN PERMIT FEE IO.BD <br />TOTAL SEWER PERIvi17 �EES�I3I I�I S 40,0(� _ <br />(7) MONTHLY SEWER CHARGES: n�jq� <br />SEWER CONSTRUCTION TRUCK r � D.Z O <br />LATERAL 2'� � <br />SEWER SERVICF �`G"���' <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��� M��� '�����" ��'- <br />M�oi�..�,� 2,�U� L�-r z'o �'ki•� f`- �_- Lu --t- M.t-1 P�•'L <br />'Pt�T�r�. w�c -�- r' �S . , - CHART :� - �.. . --- <br />INFO COMPILED BY: DATE <br />APPROVAL: DATE <br />