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T DEPAIITMENT OF COMMUNITY DEVELO�MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ic, �d � ' <br /> ADDRE55 � � �n �-U�. � . TYPE • �� • <br /> (1) BUILDING PERMIT FEfi '=�=�.,��'� s `?/=�' =' o <br /> (A) PLAN CHECK FEE /Jn. '�� ��Sn3 � <br /> (2) PLUMBING `��•G C� <br /> (3) MECHANICAL ����'� <br /> (4) WATER SERVICE TO BE �AID PRIOR TO BUILDING PERMIT ISSUANCE U'�• �'�� <br /> (A) TO BE DETERMINED BY E3LDG INSPECTOR 3/4 INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) ,\PPROX. LOCATION <br /> z <br /> 0 <br /> � <br /> CHART c� <br /> m <br /> (5) DRIVEWAY PERMIT TO BE PA!D PRIOR TO BUILDING PERMIT IS- " <br /> SUANCE FEET DRIVEWAY(TYPE) 5� ��"�C� �T <br /> b "-' <br /> in x <br /> m <br /> v <br /> (7) STATUS OF SEWER CHARGES: mo <br /> BOND ��_ DISTRICT FOOTAGE o 3 <br /> N, 5, E, W =� <br /> m <br /> NOTES � z <br /> a -+ <br /> r = <br /> =� in <br /> < <br /> ' 'J�PEx/.C7� ..`J<�(J ' G f✓sO,P-G1�S '� <br /> o � <br /> -n a <br /> C12-,L� 9 t�¢ - ��i3 = �� <br /> m --� <br /> � <br /> S:�,e. S�E�'�� �m <br /> c in <br /> 3 � <br /> m <br /> z c� <br /> �r <br /> SEWER CONNECTION CHARCES ' "' <br /> n <br /> S YEAR c�� TRUNK S • �?30� E�U � <br /> s• <br /> LATERAL � , z <br /> TOTAL CONNECTION CHARGES $ -'-��� ``��� _ <br /> v <br /> SEWER PERMIT FE[ $ "�3�"�� � <br /> - c- <br /> CATCH BASIN PERMIT FEE — � <br /> TOTAL SEWER PERMIT FE[5 $ �'� �� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL DATE <br /> „ <br /> 5�8•7 <br />