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, <br /> � _ � <br /> � "� <br /> r ,� <br /> � DE�ARTMENT OF COMMUNItY DEVElO►MENT SEIIVICES <br /> BUILUING PERMIT INfORMATIGN <br /> r <br /> ADDRESS r-f O( + 4-1��-ra.i«, s,-rc_� C-«c�.a TYPE JF� <br /> (1) BUILUING PERMIT FEE �� ��4,c�r�•`-x= S ���' �U <br /> (A) PLAN CHECK FEE Pr�. � lv0"L4.�1 <br /> 1' (2) PLUMBING 'ZS •C?O .1 <br /> (3) MECH�NICAL 'Z�. Oo <br />�I (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM,IT,�I�SSUANCE �� ' � �� <br /> (AJ TO BE DETERMINED BY BLDG INSPECTOR __l4�_INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION «�o Tc-=z� ��Tc/�3,_5��� T�� f�/T�c�/:'.eDk <br /> �3F1 t� 6F �/tU GnC• ��CH RT x- '?�I-Z�- `•� <br /> (5) bRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE �Lt-� FEET ������"r —DRIVEW'AY(TYPE) S �Z ' S�' <br /> S <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND = DISTRICT F(�OTAGE �rn_-p�y�r� <br /> N, S. E, W <br /> NOTES <br /> `��t�.. "C7��lEL.OPt�t��7T �� <br /> ��� (��(Q 9 — 2� U <br /> �u4='tM�.� Cl�..�v� .�.� <br /> 7�G'L� . eU <br /> SEWER CONNECTION CHARGES �� o�. <br /> YEAR ��L TRUNK S <br /> LATERAL �/�(%1�/y — <br /> TOTALCONNECTION CHARGES11 S � � <br /> SEWER PERMIT FEE f �"--�-�• OG <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEFS S ?�'��� <br /> (7) MONTMLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK f <br /> LATERAL <br /> L SEWER SERVICE "� <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: L•A7 �->Ti.�,F�i/'�t?� 7'O �lr_ <br /> �v�ec� ��� 4--r L=. u —r �`�l. fl 2 � Ar °i�'!�c ���r /��—�r' <br /> ��. nJ� CHART � - 3�- z�,-'� <br /> L � <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE � <br /> 4149 I <br /> � <br /> � J � <br /> �� <br /> _ � <br />