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'i ■ <br />r <br />1 <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS LANE- _TYPE <br />(1) BUILDING PERMIT FEE �5� E�' c� $ 9 P <br />(A) PLAN CHECK FEE <br />� o <br />(2) PLUMBING <br />(3) MECHANICAL S <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR -S4, INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION 47iemn "Tu J%:L .4ee9 l ¢Fr <br />(cJ OC E ecG O` LotCHART <br />(S) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY (TYPE) $ <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E. W <br />NOTES <br />�UE.Z' �F'6Z/ p L GFJ,c./.(IEZ7/O,c � �f�itlA•'C/t=S <br />C /;7 /0. <br />20• <br />SEWER CONNECTION CHARGES <br />YEAR S34 TRUNK $ <br />'L7D• OO <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />270-00 SEWER PERMIT FEE $ <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES $ 3D•oa <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: f--+- • <br />CHART ��- 8 -7'8 <br />INFO COMPILED BY: DATE <br />APPROVAL: <br />DATE <br />y <br />1 <br />9 1 79 <br />