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, <br /> �.: �v� <br /> � . <br /> • DFPARTMENT OF COMMUNITY DE\'ELOPMENT SERYICES <br /> f3UILDEf�G PERMIT INfORMATIOf� <br /> � � <br /> ADDRE55 Cr04- 1��?_ec.�� WA�/ _`��, CCJ TYPE �' F �` <br /> (�) BUILD:NG PERMIT FEE 4��jE�Y�• °� g �74- o0 <br /> (A) PLAN CHECK FEE ��°5` L <br /> (2) PLUMBING �w'U v <br /> (3) MECHANICAL �y'SU — <br /> (4) WATER SERVICE TO [3E P.\ID PRIOR TO E3UILDING PER�11T ISSUANCE ��� a� _ <br /> (A) T� BE DETERMINEL� dY E3LDG INSPECTOR � INCH <br /> (E3) EXIST. WATER SER\'ICE, APPLICATION NO. <br /> (C) APPROX. LOCATION �✓�c/�v_,p-� T�� !?� .orP,¢cv�t S/-7 <br /> 6.Gll �F �/.ul. Go.r cFGnTCHART L -�Z- 2E�-4 <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS• <br /> SUANCE FEET _DRIVEWAY(TYPE) S z�' �� <br /> (7) STATUS OF SE�h'ER CHARGES: <br /> BOND � DISTRICT FOOTAG`_ <br /> N, S, E, W <br /> NOTES <br /> � <br /> � <br /> � <br /> � <br /> SEWER CONN[CTIO� CHARGES <br /> YEAR g'"� TRUNK � 2_ �D . vo <br /> LATER�L H � <br /> TOTAI. CONNECTION CHARGES $ —z7n" "`' ~ ~ <br /> �, . <br /> -- c� �: <br /> a <br /> SEWER PERMIT FEE $ ��"�`� � � <br /> CATCH BASIN PERMIT FEE � F <br /> TO1AL SEWER PERMIT FEES $ -- 3U"�(� � � <br /> �- <br /> _ ,Q ;. <br /> (7) MONTHLY SEWER CH.�RGES: � � <br /> SEWER CONSTRUCTION TRUCK $ � `` <br /> LATERAL — ° ;. <br /> SEWER SERVICE � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: Gn� '�7�tl3a�� "��� P�L <br /> � �,; <br /> � '��.c 48 F> �GrJ c�i .0 !v Un,r� vr Lo> � ,ei�v�'�r F� -r> t <br /> 1,'t�w � r p/�.., _ CHART �- -� 2-z8d- ;,; <br /> � r <br /> . �, <br /> �.. <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9.1J9 <br />