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� � <br />DEtARTM�NT OF COMMUNITY DEVELOIMENT SEh. �Ck5 <br />BUILDING PERMIT INFORMATION <br />c�..c,Q �STtd R--S�C.C� TYPE ����� •— <br />ADDRESS �,+v�'. DO <br />(1) BUILDING PERMIT FEE �i�Q�-� b � `.�-- <br />(A) PLAN CHECK FEE g�, pp <br />(2) PLUMBING aE.�'C9L <br />(3) MECHANICAL ��p�pv <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSU INCH <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �-- <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- � <br />�_DRIVEWAY(TYPE) 3 �2' <br />SUANCE � -FEET ������ $ ¢�p3, 50 <br />(7) STATUS OF�� SEW-ER CHARGES: FOOTAGE _J-- <br />BOND .�.1:�--�ISTRICT � <br />� 5, E, W <br />NOTES <br />SP�t �c.• � GiJl-�Q-c.(,G-S <br />02YJ '7Z'Z- 8 D <br />�A '� <br />'-p u R-E� �Y£3 �O. oc� <br />N CHARGES �� <br />2I�'I�_,A,�1'���, <br />� <br />SEWER CONNECTIO d'�� � ov <br />YEAR g ( TRUNK S � <br />Spp -Co 5 <br />LATERAL � � 8 . �05� <br />TOTAL CONNECTION CHARGES 5 <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWEF CHARGES: TRUCK <br />SEWER CONSTRUCTION <br />LATERAL <br />30� � <br />� ��a��� — <br />5 � BD <br />a3g9� 2.��� <br />3 <br />3 .%n�/� <br />M�-�Ep <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />S c�0 /-28-4 <br />_ CHART <br />INFO COMPILED BY: <br />APPROVAL: <br />41�79 <br />DATE <br />DATE <br />