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i� <br />BIJILDING PERMIT IN�'OR�MIAiaOrl <br />ADDRESS����Y�� �II Ii�%L�A'�dK! S% TYPE �3[JD/,t;lg+s DA4CC, <br />(1) BUILDINC PERMIT FEF���i �'�' ; 203 ' �� <br />(A) PLAN CHECK FEE �— B�STp <br />(2) PLUMBING � <br />(3) MECHANICAL <br />(4) WATER SERVICE �O BE PAID PRIOR TO B�1ILDING PERMIT ISSUANCE <br />(A) TU BE DE iERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. _— WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION ---- — <br />CHART __--. <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET �DRIVEWAY(TYPE) 3 <br />b <br />(7) STATUS OF SEN�ER CHARGES: � <br />BONC � —DISTRICT __ FOOi'AGE ��� <br />N, � E, W <br />NGTES <br />�' �sac. u�r« iry <br />p,�o <i7/-E� <br />2� <br />�.,/y � gp�l,.rs� <br />4� � o'�;�—� <br />P�c�s <br />f,ly p 2�a• �? <br />�,�� � 3f� .' <br />•� z�. sa <br />•�., ., <br />, � <br />� <br />7 .2 �7�.5.3 <br />SEWER CONNECTION CHARGES <br />YEAR �7 TRUNK <br />LATERAI. <br />TOT�1L CONN�CTION CHARGES <br />SEW'cR PERMIT FEE <br />CAl'CH BASlN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY 5[iNER CHARGES: <br />SElNER CONSTRUCTION <br />S <br />g �/�3 3 5 _ <br />S 30-Ob <br />a �o•Od <br />TiiUCK � <br />LnTERAL <br />SEWER SERVICE <br />APPROX. LOCAiION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILECt BY: <br />APPROVAL: <br />S�B4 � ' <br />. � . ��.1, <br />, .� , <br />CHART <br />DATE <br />DATE <br />i <br />� <br />