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� <br />m <br />DEPARTMEk"' OF COMMUNITY DEVEIOPMENT SERVICES <br />BUILDINC; PERMIT INFORMATION <br />ADDRESS 723 �/6 SST�� �JT, __TYPE e��M • <br />(1) BUILniNC PERMIT FEE La¢y� •Bd g �/%• O O <br />(A) PLAN CHECK FEE PfJ' � ��1�77 <br />(2) PLJh181NG �'� b <br />(3) MECHAIvICAL 2�-BZ� _ <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �=o Ar�c. <br />(A) TO BE DETERMINED BY, BLDC INSPECTOR I INCH � 2�� <br />S.o.� 3�.0 �v/�slvq <br />(B) EXIST. WATE[i SERVICE, APPLICATION NO. <br />(C) ^PPROX. LOCATION <br />_. CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- /O. � <br />SUANCE _ 2� FEET r-��G DRIVEWAY(TYPE) S <br />$ 263.OD <br />(7) STATUS Of SEWER CHARGES: , <br />BOND � DISTRICT �� FOOTACE �� <br />N, � E, W <br />NOTES <br />SF�'zto` S�car Cei-+��..es ba.n l0(.4-$a <br />I�cz.l2ys �r � � UPuc'x 8`S b• � <br />' SEWER CONNECTION (:HARGES <br />' YEAR S� TRUNK <br />LATERAL <br />TOTAL CONNEGTION CHAftGES <br />SEWER PERMI7 FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTIQN TRUCK <br />� LATERAL <br />b 3 E37• to b <br />5 •387-Cao <br />S 3p_ao <br />S 3m-60 <br />b /.i/ .— <br />• SEWER SERVICE �� <br />(►PPROX. LOCATION OF SiDE SEWER OR TEE IN THE MAIN: 8�� �� �'�=P�'�'� �T <br />... i.- J. . L� fl/... ' S->rs�a�o.s..�. To P�L .dP.a2BK 9� rr <br />w err �-il u F e.o.wzc,e 4 fi+' 'DE+a �—. CHART G.=�– <br />.... <br />..'.p ;.... <br />•� •� INfO COMPILED BY: D.ATE <br />/►PPROVAL: <br />DATE <br />�rs r � <br />5"�„ <br />,,,�.. <br />