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� DEIAIITMENT OF COMMUNITY DEVELO�MENT SERVICES <br /> [3UILDING PERMIT INFORMATION <br /> ADDRESS _� ���.0 c-l.» QV� .. S.E. . TYPE S. F-'' , "�° <br /> (1) BUILDING PERMIT FEE � 3g,p�0 • v 3 <br /> (A) PLAN CHECK FEE ��v!`f� / %� .5S <br /> (2) PLUME3ING � • n v__ <br /> (3) MECHANICAL _ ��' '�� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM�IJ'ISSUANCE ��-�� <br /> (A) TO BE DETF.RMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. I.00�TION � MA�aJ /��'Prz-O�c 3F"z S <br /> O�' <t: r�R�' P_�l.0 CHART Y—�3'2g^� <br /> (5) DRIVEWAY I'[RMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- .�(��yy� <br /> SUANCE FEET DRIVEWAY(TYPE) S Z� - �d <br /> b _ <br /> p) STATUS OF SEWER CH�RGES: <br /> BOND �-�� • DISTRICT FOOTAGE _ <br /> N. S, E, W <br /> NOTES <br /> s�uk-,e. t�U. "��: <br /> o2-r� ��,4-83 <br /> 5.�� . <br /> 5 r.�> <br /> �'�`L�." <br /> SEWER CONNECTION CHARGES <br /> YEAR 8 � TRUNK b ���0• �U <br /> LATFRAL .��� ��� <br /> TOTAL CONNECTION CHARGES � 3 -IZ$ � C�O <br /> �q9 <br /> SEWFR PERMIT FEE S 3O'�� <br /> CATCH BASIN P[RMIT FEE <br /> TOTAL SEWER PERMIT FE[S b 30 ' �`�`� <br /> (7) MONiHLY SLWLK CHARGES: <br /> S[WLR CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> SE:WER SERVICE <br /> �f'PROX. LOCA11(�N OF 51D[ SEWER OR TEE IN THE MAIN: C-A� TO I� I lJPPRBY <br /> 3 8 t-�' I�L.. � 1�- S. L. cc�rZ. O 1-' Lot- � dr'I��F�7� — <br /> �o ��- ��'(-=S'• CHART Y-l3' 2S-� <br /> INFO COMPIL[D UY: DATE - <br /> AI'PROVAL: DATE <br /> 5•oa <br />