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DEPARTMEHT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS �1� �� g�G qD �61�!(..yc� gc-c�p,'PE �l-s� <br />('1) BlI1LDING PERMIT FEE �� 5�,0�'� � ��5�� G <br />(A) PLAN CHECK FEE 2Q�.���1 r��.cu <br />(2) PLUMBINC �� �� <br />U�.�o <br />(3) MECHANICAL — ����. ��� <br />(41 WATEK SERVICE TO BE PAID P.IOR TO BUILD�NG PERAAIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR <br />INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(Cl APPROX.LOCATION���ti�/���� �oP�3'� /� G7 '�O'� <br />�nr �A,... Q✓,rnO.�iihHART (�- •��9 � <br />.- .- ,• <br />(5) DRIVEWAY PERMIT TO BE PAID PR�OR TO BU11_DING PERMIT IS- 'O' �� <br />SUANCE FEET DRIVEWAY(TYPE) S <br />S <br />(7) Sl'ATUS OF SEWER CHARGCS: <br />BOND -� DISTRICT FOOTAGE <br />N, 5, E, W <br />NOTES <br />, � _a• �c > r ' a <br />OQo- 7ZZ-SD <br />.d /1c� `� <br />��s7�.o� <br />SEWER CONNECTION CHARGES <br />YEAR 83 TRUNK S ����v <br />LATERAL ¢��' �d <br />TOTAL CONNECTION CIIARGES S 7 6 S-' � <br />��y� — <br />SEWER PERMIT FEE � S .30..00 <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES S 30• L�C� <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK 5 <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />. .. .� ! . ' <br />� INFOCOMPILEDBY: <br />APPROVAL: <br />�S'��o� <br />41.79 <br />DATE <br />DATE <br />a�?� <br />��-�3y-�Z9-� <br />