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� <br />DEPwRTMENT OF COMMUNITY DEVELO�MEhf SERVICES <br />BUILDING PERMIT INFORM�TION <br />-= ', - <br />ADDRESS ���L II7U �����cPr'r ,(/,��C� . TYPE �'F� <br />(1) BUILDING PERMIT FEE �i /05,Q9O. �' b ¢'�' Sa ' <br />(A) PLAN CHECK FEE �L7lo3 <br />(2) PLUMBING � � ` �� � <br />(3) MECHANICAL —�27 �� <br />(4) WATER �ERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANC��� �'�' <br />(A) TO BE DETERMINED BY BIDG INSPECTOR �� INCH � ' :� <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION 8�' C-.2 . Mra�.� I.�Pa��k l�l �� <br />E or� � Marac.-n�� �MART � -� 2`� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ��� <br />SUANCE �S FEET I�cPl�l -DRIVEWAY(TYPE) S <br />g �'{�'�,� <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT � Q FOOTAGE 2� <br />N, S, E, � <br />NOTES <br />�j�{�j �jL�/lih�Jy � <br />O,e,o i22-80 <br />i - . <br />5.« <br />5 <br />. �i �'om _ o0 <br />SEWER CONNECTION CHARGES <br />YEAR 81 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />539. [03 <br />s /�7p. Q Z� <br />45�•Oa <br />� Z2�•c�D <br />S ��.Oc7' <br />5 3o-9d <br />(7) MONTHLY SEWER CHARGES: 2�2�. <br />SEWER CONSTRUCTION TRUCK E <br />LATERAL 2 ��S <br />SEWER SERVICE �� <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ���� ��� �`�"��7 <br />E 9F M/J i,v NI c(!c! [_�-� f3�.cl o CHART M' 3Co -7�?-'f <br />INFO COMPILED BY: <br />APPROVAL: <br />41-79 <br />DATE <br />DATE <br />