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'` <br />DE�ARTMENT OF COMMUNITY DEVELO�MENT SFRVICFS <br />BUILDING PERMIT INFURMATI�N <br />ADDRESS LC�lP3G� �-�P� �i�IN�.��•.a D2. TYPE 1�`'fG�=� <br />(1) BUILDINC PERMIT FEE �CoS, ¢�G�• � ;_�33/• O D <br />(A) PLAN CHECK FEE Pv. � U(o/�� <br />(2) PLUMBINC -�•�'"� <br />(3) MECHANICAL �`'�d <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE SOD. � <br />(A) TO BE DETERMINEG BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION �'�� ��>��� of'f'F-'s'x �5 �T <br />tlJ Of' �.DF f��uN�t�� CHIART T— c�—ZB—S <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S �' � ��� <br />s a�/�' y <br />(7) STATUS OF SEWER CHARGES: <br />BOND -� DISTRICT FOOTAGE <br />NOTES <br />:.��G1C3"72 L�--�IF�>OMEXI � � <br />�,orv pT l� T�-�� �i— <br />�a�r �,�7r/.�-/�f. <br />N, S, E, W <br />SEWER CONNECTION CHARCES <br />YEAR �3 TRUNK <br />LATERAL G;.c�j' d <br />TOTAL CONNECTION CHARGES <br />a��9� <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTIiLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />Ii:�1I�1:1 <br />LATERAL <br />5 27� 00 <br />¢�'O•� � <br />s 7 Zo.�� <br />s .30.Oc7 <br />3 <br />�I J I <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��� ^�•�i �) �. O� <br />�(L(t�tn,t�� �uC � .c��� !�Tl,9 •T�i j'�L <br />CHART T � -�Z � `�' <br />INFO COMPILEU @Y: <br />A?PROVAL: <br />41�79 <br />DATE <br />DATE <br />� <br />� <br />Z <br />0 <br />-� <br />,., <br />� <br />m <br />11 M <br />�� <br />., -� <br />N 2 <br />0 <br />m <br />co <br />m� <br />.-r c <br />O 3 <br />-� z <br />x -� <br />m <br />.. <br />A Z <br />D --I <br />r s <br />., .. <br />-1 N <br />-t <br />T <br />o�T <br />� m <br />x <br />m� <br />0 <br />� <br />o r <br />c-� m <br />C N <br />�N <br />m' <br />�� <br />. m <br />n <br />z <br />� <br />_ <br />a <br />z <br />� <br />x <br />� <br />z <br />0 <br />-i <br />n <br />m <br />