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.- _ ..��.,�.,-...._.�..._-__p_� <br /> � <br /> �, , <br /> � <br /> DEPARTM£Ni OF COMMUPIITY DEVELOPMENT SERVICES ' <br /> � UIL�IN� PERMIT � NFORM�ITION a <br /> ADDRESS � .-��OT,r� 5'T TYPE �.�/� <br /> (1) BUILDI�IG PERMIT FEE �'-�-'ppp - �= � � <br /> (A) PLAN CHECK �EE $ ��5� <br /> r <br /> f?o. .5��30 - � <br /> f2) P�.UMBINC �`d� � <br /> (3) MECHANICAL �5� ' <br /> (4) WATCR �ERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �✓7� � <br /> (A) TO 8E DtTERMWED BY E3LDG INSPECTOR I INCH <br /> (:Sl EXIST. WATER SERVICE, AP?LICATION NO. <br /> (C) APPROX. LOCATION l-Ui_1�7t-� •-rc� ��- �-yf� ��� <br /> �'Cw! T��' V!t� f7��'��c=�� <br /> CHAR7 5' '�� : <br />� ; (5) DRIVEWAY PERMIT TQ BE PAID PRIOf< TO BUILDING PERMIT IS- <br /> SUANCE 2� _.FEET L�'���__DRIVEWAY(TYPE) S �2'�� <br /> ; <br /> S� <br /> .,� (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTACE`��� <br /> 1 <br /> i N, S, E, W <br /> NOTES <br /> � �`�� ��.��rJT I'��-S <br /> �� �ii� CoLa '!— P� O <br /> � Fd�✓� I <br /> s <br /> ;� . lj.�. �2Z 1. �C7 <br /> I <br /> ' SEWER CONNECTION CHARGES <br /> ' YEAR TRIJNK $ � <br /> '. L,ATERAL <br /> ' TOTAL CONNECTION CHARC'e5 $ —� � <br /> .; <br /> ;� SEWER PERMIT FFE $ ��� <br /> ' CATCH BASIN PERMIT FEE - <br /> � <br /> � TOTAL SEWER PER�41T FEES g '�Jl� - O�- <br /> � (7) MONTHLY SEWER CHARGES: <br /> � <br /> ; <br /> i SEWER CONSTRUCTION TRUCK $ <br /> i <br /> � LATERAL • <br /> , � SEWER SERVICE S• [O <br /> ;1 APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> I <br /> CHART <br /> ' INFOCOMPILED BY: _ DATE <br /> `i APPROVAL: __ DATE <br /> '; <br /> . <br /> + <br /> �� <br /> a <br /> �� 9�1�79 � . <br />