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� <br />_ r, <br />D�.,�RTME1�.� c7F COMMUNITY DEV[LOPM�..� SERVICES ✓� �� <br />BUIi.�ING PERMIT IMFO�t�v1�iTION <br />ADDRESS l9/b /���c.�w::�ra,,.� �lva. TYPE Ga��.-s�., 7�c.`r�c-�-,c <br />(l) BUILDIN: PERNiIT FEE (��yo��• e`� $ Z'�5- � \ <br />�A) PLAN CHECK FEE �' �� �`"`�J <br />(2) PLUMBiNG ��'- v o <br />(3) MECHANICAL < CO- v �' <br />(4) WATER SERVICE TO BE PAID PRI(�R TO BUILDING PERMI i ISSUANCE �� S' �_ <br />(A) TO BE DETERMINED f3Y DLDG INSPECTOR I INCH ������u S�'�'�PGY <br />(B) l'XIST. WA'iER SERVICE, APPLICATION NO. <br />�,� (C) APPROX. LOCATION �'�� M�«% d+OjO�� fZ ��- <br />I�1 os �. �a �iuu-ro.� �4V�1RT 5- /Ca 2 <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE 2-�, FE'�T %SP��.T DRIVEWAY (TYPE) S ����� <br />CD1 a •.— <br />i <br />(7) STATUS OF SEWER CHARCES: ��Ii' Ea ' <br />BOND � DISTRICT 22 FOOTAGE 75 j <br />�� 5� E- W i <br />NOTES <br />SEWER CONNECTION CHARGES ����% <br />YEAR __�� TRUNK S 2�-�' �� <br />LATERAL __`f�?�� 34 `� ' v �' <br />TOTAL CONNECI'ION CHARGES 677�'� �_�5' v� <br />,� 3 S.�' �- <br />SEWER PERMIT FEE 3/as/�i � 3O" �� <br />CATCH BASIN PERMIT FEE � <br />TO1nL SEVI�ER PERMIT FEES S— <br />(7) MONTHLY SFWER CHARGES: <br />��WER CONSTRUCTION TRUCK S __�' �5 <br />LATERAL �'2� <br />SEWER SERVICE ���-L"�' <br />APPROX. LOCATION OF SIDE SEWFR OR TEE IN THE �.�AIN: 8" N6ouJ � Bc L-9-tut�,te�J <br />�.._ r��..� • �..� -r_ b�. � oon �. Iz.�..� P nr M 11. �d.�. � /�PP2.r�^t� <br />��'b�.�cv a-G P�1. - CHART �'- `� " 28- r <br />iNFO COMPILED BY: <br />APPROVAL: <br />9-Li 9 <br />DATE <br />Di1TE <br />