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h �, <br /> I... �� i <br /> �. �^'` . <br /> . DEPARTMENT OF COMMUtJITY D[b'ELOPMENT SERVICES <br /> � � � B �J � LDING PERf�41T lI� FO�tMATIr.�N <br /> ACDRESS �L� ��(Jf'n��=r�liGG� ULv�C-. 11'PE _=:��2 <br /> (1) BUILDING PERMIT �EE ¢v, 32p- ��' � _._�2•�_� <br /> (A) PLAN CHECK FEE t'O, �' ��%� (� <br /> (2) PLUMBRJC _ /� .0 O <br /> (3) MECHANICAL 22•5� <br /> (4) WATER �ERVICE TO BE PAID PRIOR TO BUILDING PERMI f ISSUANCE ¢F��-O U <br /> (A) TO BE DETERMINED 8Y E3LDG INSPECTUR �� INCH �' ,� SSS� <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. . <br /> (C) APPROX. LOCATION _ <br /> _CHART <br /> (5) DRIVEWAY PERMIT TO BE PA1D PRIOR TO BUILDING PEftMIT IS- <br /> SUANCE _FEET � DRIVEWAY (iYPE) S �C�• � � <br /> g 6 70 7� <br /> (7) STATUS OF SEWER CH:',RC�S: <br /> [30ND _ --� DISTRICi FOOTAGE _ <br /> N, S, E, V�' <br /> NOTES <br /> �s,u� Dev�LoPMc-��' �'c=� <br /> d.Po J2��- 80 <br /> �,��t�,_ o <br /> �,:•�A� 2 <br /> � <br /> ���/Z ��T�-�� � <br /> � <br /> SEVVER CONNECTION CHARGES <br /> Yi aF; �� TRUNK g .�30�O C'� <br /> LATERAL �G 3 �9- � — <br /> iOTAL CONNFCTIO�I CHARGFS $ 3'--�p'�a y �' <br /> H � <br /> ;;.�/935 �' r <br /> 0 <br /> SEWER PERMIT FEE S 3P"0� "� r <br /> CATCH BASIN PERMI? FEE — � �' <br /> �, J Z� � , <br /> TOl"AL SEN'F_R PERMIT FEES 3 F� F <br /> o : <br /> (') MONTHLY SEWER CHARGES: r�' <br /> � �' <br /> SEWER CONSTRUCTION 7RUCK b � o. <br /> L,' TERAL � o , <br /> M r: <br /> S[WER SERVICE — � Fi <br /> APPROX. LOCATION OF SIDE SE\NEK OR TEE I�`J THE MAIN: _ �; <br /> — . —.�__ � ' : <br /> _.._—_ CHAR'i �_— :i <br /> z :_ <br /> INFO iOMPILED BY: __�_ DATE <br /> APPROVAL: _ _ DATE <br /> i <br /> 4L79 <br />