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i <br /> i •^ l <br /> � DEMRTMENT OF COMMUNITY DEVEtO�MENT SERVICES <br /> ' BUILDING PERMIT INFORMATION <br /> I <br /> i <br /> � /� /� <br /> ADDRESS I'��Q� "uLK�/ �Ve. TYPE MLlI�?r IR',C� ���' <br /> (1) BUILDING PERMIT FEE � �f5,66O �� S ��7•OD <br /> (A) PLAN CHECK FEE . •� <br /> (2) PLUMBING ��' ���� <br /> (3) MECHANICAL «Z' S� <br /> (�) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER�IT ISSUANCE S � <br /> (A) TO BE DETERMINED BY BLDG INSPECI'OR �INCH ��'Z'18�J <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. S�r�'� <br /> (C) APPROX. LOCATION B��Ma'�1 ,A/JLDY $45 F'J' E B� <br /> ' � O�l�l� CHART ���Q�Zy-5r <br /> i (S) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) f � ' �v <br /> S <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND �" DISTRICT FOOT�GE � <br /> N, S, E, W <br /> NOTES <br /> �t.�� �e�.v� �' . <br /> � «pi-g � . .. <br /> w,�� ;4r�D• °�' . <br /> y� �� <br /> *r ���a�o� . <br /> SEWER CONNECTION CHARGES <br /> YE11R TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARCES S <br /> ; . <br /> ; SEWER PERMIT FEE S 3O•0� <br /> �, <br /> CATCH BASIN PERMIT FEE <br /> T0T�1L SEWER PERMIT FEES S �'� <br /> p) MONTHLY SEINER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE y <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: G <br /> � � � - <br /> �,j�l _ �ZrIB � •� �f /IYII.'�/ .�IIJ� � '�CHART � �E9�^ <br /> � <br /> . , � <br /> INFOCOMPILED BY: DATE <br /> APPROVAL: DATE <br /> 5-84 <br />