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i1 <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS D(z TYPE S •f- e <br />(1) BUILDING PERMIT FEE '� �;�>,Cka'� cAr) $ <br />(A) PLAN CHECK FEE' <br />(2) PLUMBING <br />(3) MECHANICAL �!" D <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />• (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) 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 lll� DISTRICT FOOTAGE - <br />N, S, E, W <br />NO-( ES <br />SEzv rr-a-� <br />a/zo vo. 98¢- <br />SEWER CONNECTION CHARGES <br />20, 00 <br />YEAR __ c?q. TRUNK S Z70`O O <br />s <br />LATERAL <br />TOTAL CONNECTION CHARGES S <br />SEWER PERMIT FEE S 30. OZ1 <br />CATCH BASIN PEW"IiT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK $ <br />LATERAL — <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR. TEE ITS THE MAIN: '�77-61.-->�c:21 -TO <br />40_c f' Nl /J. <br />CHART <br />INFO COMPILED BY: <br />APPROVAL: <br />DATE <br />DATE <br />41 79 <br />