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�_ � - <br /> '�.: ri�, � Yc, = i�.�� <br /> DFPARTMENT OF COMMUNITY DEVELO►MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> � <br /> ADDRESS l�W Src.urz. Lar-E ,� TYPE `�-�e <br /> (1) BUILDINC PERMIT FEE b ��''�y <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING `2 � � <br /> (3) MECHANICAL -- "l`� <br /> (4) WATER SERVICE TO BE PAID FRIOR TO BUILDING PERM T ISSUANCE ¢� dU <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 3�INCH /`�/$tpy �PP�4' <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 8 � �1' M�r<J AP�Qa ��/� � �'� <br /> � o� Q�,v CHART �-�`�' L8 -� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS• � <br /> SUANCE FEET DRIVEWAY(TYPE� �� <br /> E 633 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT � FOOTAGE <br /> P1, 5, E, W <br /> NOTES <br /> ..��Ell.� aELE3.L�Mc�Jj' P�L� <br /> dQ0 '7 Z 2-£3� <br /> �� Z <br /> �.<^ ,ec-� � 33� ov <br /> SEWER CONNECTION CHARGES <br /> YEAR 83 TRUNK 3 -3�a0O <br /> LATERAL 345•�� <br /> TOTAL CONNECTION CHARGES 3 7 ZS' �v <br /> SEWER PERMIT FEE s � �D <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES � ��"�� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK E <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ����-� �� ��"��T <br /> A u{ , 5 s�v� oF G�7 ��'E 25 � GU Dv M,cf �� d1�'.CA� 5` Dc�'p Disv <br /> �tuaA� To P�i, aP� /Z ` uJ s�F- � c CHART `3-/y-Z�-s <br /> Gs�G tv' Gu7 aYoetnc // /�7 T�=a" <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9.1 79 <br /> `•. <br />