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, . . <br /> DE►ARTMENT Oi[OMMUNITY DEVELO�MENT SERVICFS <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS � 3FiZq �OQtE +�V E TYPE 5•�2 <br /> (1) BUILDINC PERMIT FEE � lZ7y aD0 • e� S 4'88'�d <br /> (A) PLAN CHECK FEE 3S•'i5 47t.(g <br /> (2) PLUMBINC 38.0� <br /> (3) MECHANICAL ' d"3•S� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE �. Tb NLO <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR INCH �'P�" µ <br /> 2�5�s8b <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. �� OWu�e.. <br /> (C) APPROX. LOCATION _ <br /> CHART <br /> (5) DRIVEWnY PERMIT TO BE PA.ID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> S <br /> (7) STATUS OF SEWER CHARCES: <br /> ' BOND DISTRICT FOOTAGF <br /> N, 5, E, W <br /> NOTES <br /> �n• S�w� 'L��•��E '�L�.�.E <br /> �3�. � <br /> �� To S�� SEWER CONNECTION CHARGES <br /> P��,.��� � 7�.'11'1 YEAR TRUNK f <br /> �Il4W.'P�_pt,i, Go�..lc.� LATERAL <br /> �� �w�� TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE f <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <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 /> 5�84 <br />