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DEMRTMENT UF COMMUNITY DEVELO�MENT SERVICES <br />BUILDING PERMIT iNFURMATION <br />� <br />ADDRE55 7�I�� `x ''r%��'"'"�'� "`' ' TYPE 5 F�' <br />(1) BUILDING PERMIT FEE 2d�r ���'�`� S �83• OC� <br />(�) PLAN CHECK FEE �i�. � 7Z�9 I <br />(2) PLUMBING �• �U <br />(3) MECHANIC1IL '�- `J� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE C�U•Ov <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �� INCH <br />(B) EXIST. WATER SERVICE, APPLICATIO NO. <br />(C) 11PPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAlD PRIOR TO BUILDINc; PERMIT IS- <br />SUANCE _FEET DRIVEWAY(TYPE) S �O • OD <br />S 7�:6a9 <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT FOOTAGE <br />NOTES <br />6 �ZG� D�J, � <br />� � %' i <br />- i �� : <br />� �� � <br />N. 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR �¢ TRUNK <br />LATERAL �(� ��L-S <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEW[R SERVICE <br />E 27D. c9C7 <br />s 2�0. ea <br />S � �v <br />i .�O-EJ� <br />z yqp :Z <br />TRUCK S <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE 1N THE MAIN: <br />INFO COMPILEU BY: <br />APPROVAL: <br />5•84 <br />CHART <br />DATE <br />DATE <br />