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I DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS '-*'- '4 LL 7 o/ J k z '� 7� 2- — <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />C) <br />TYPE <br />$ <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUI,DING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR—/ INCH <br />(B) EXIST. — WATER SERVICE, APPLICATION NO. <br />(C) APPROX.LOCATION 9' 1--WIX2 6Kl6e-e;'- <br />P�_.i_-CHART <br />1�� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />DRIVEWAY (TYPE) <br />(7) STATUS OF SEWER CHARGES: <br />BOND —DISTRICT �FOOTAGE__14YZZ&W-VU"9 <br />N, S. E, W <br />NOTES <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK $ <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />$ e <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES $ <br />(7) MONTHLY SEWER CHARGFS: $ <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />-7-( <br />C H A R TZ-2- <br />INFO CONWILED BY: DATE <br />DATE <br />APPROVAL: <br />1-3 <br />cr <br />9 1 79 <br />