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�DEPARTMENT tlF l'OMMUNITY DfVEL�EN7 SERVICES . � ' <br /> � �11LDING PERR�91T INiFORl1�►ATION <br /> ADDRESS 2 ��� W�� �v L= TYPE 5"��Z' <br /> (1) BUILDING PERMIT FEE C�. O,DOV' ' db S ��7' � � <br /> (A) PLAN CHECK FEE _�/� -"� 4 �4�Ld <br /> (2) PLUMBING ! d - (' U <br /> (3) MECHANICAL �j. D e <br /> (4) WATER SERVICE TU BE PAID PRIOR TO BUILDING PERMIT ISSUANCE � 2.3 S• �' <br /> (A) TO BE DFTERMINED EY BLDG INSPECTOR� INCH 79 ��o�+ �'r'�`/ <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION �I- �� /�+t�p�a l,PO20Y 4.. Q� ►4 <br /> 0�� oF l.Inwgo.o LIlA�CHART S'���7 <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERh11T IS- Z� <br /> SUANCE � `� FEET �S��Gf DRI�/EWAY(TYPE) S �� � s <br /> g d2co• `� <br /> (7) STATUi C7F SEWER CHARGES: <br /> BOND � DISTRICT '2 I FOOTAGE _. <br /> �!, S, E, W <br /> NOTES <br /> ;/��/AL �E3ZUf7'y C�i2ff�5 <br /> ' p� ��,o L l�9- � o � <br /> �� 2 <br /> 4,c. 2�-s = 2[c3. eU <br /> SEWER CONNGE�CTION CHARCES <br /> YEAR C� � TRUNK S 25.`3' �� <br /> LATERAL 4'2�' S� <br /> TOTAL CONNEC?iON CHARGES S �7�' �� <br /> SEWER PER�41T FEE $ 34' � <br /> �--- <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5 _�' � <br /> (7) MONTHLY SEWER CHARvES: <br /> SEWER CONSTRUCTION TRUCK S �'�5 -- <br /> LATERAL 2'25 <br /> SEWER SERVICE �' S� <br /> APPkOX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �� — <br /> �__� ..� lI_ � B.�N�dLM � Bc aan; !�T t0 <br /> �.___—� <br /> + p,op2� �gp � F c� M.1,C '.'��vetrt�eu� CHART '��' <br /> � rsPPP.c� � �'c '�c�' p� ��� GC9- �3-Z�-S� <br /> � <br /> IPJFO COMPILED BY: DATE <br /> APPROVAL: — _ I�ATE — <br />