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DE�TMIENT OF GUMMUNITY DEVELWMiNT SERVICES <br />�UILDING PERMIT INFORIVIATION <br />ADDRESS Z �Z I �� �3 (�011.� ST TYPE � � �+ <br />(1) BUILDINC PERMIT FEE [�.'j`clpp .� ° g I 7�� � d <br />(A) PLAN CHECK FEE <br />(2) PLUMBINC 3 m � Ot� <br />(3) MECHANICAL ��7- �v <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 3?� `� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION � � C '�• �''0 �� d'���Ox 'Zo-/�-r+ <br />� OP 'C. ��- S�cHARI' L' �i ( Z <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TC� BUILDING PERMIT IS- / <br />� <br />SUANCE 2 S FEETI���d7�ti% DRIVEWAY(TYPE) S '� a <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND �� DISTRICT � � FOOTAGE �� <br />NOTES <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR � D TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARCES <br />SEYVER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTIUN <br />SEWER SERVICE <br />APPROX. LOCA ION OF SIDE SEWER OR <br />� u G ��GU G�0 T Yo / <br />r- <br />INFO COMPILED BY: <br />APPROVAL: <br />9-1•79 <br />S <br />S <br />$ '�d , vZ� <br />t-� <br />g 3 m - �'[� <br />TRUCK g C• S 6 <br />LATERAL 3 •� ti <br />/Lt�—T�r�..tr�o <br />IN THE MAIN: � ��� �� � BC �• �� <br />a r.�rLc x l� ��� �-/ �- M. �,/. �y <br />o r� ��P.�dA' CHART X- 32-�1'i'-�� <br />�-- � <br />DATE _ <br />DATE <br />�« <br />� <br />