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'� �. <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />SU�L.�Ih1G PERIVeIT INFC�RIviATION <br />ADDRESS � 24' ��g 55z� 5T �� TYPE �•Ow�.�-�! <br />(1) BUILDING PERMIT FEE %��BBD•`y $ 23�� �v <br />(A) I'LAN CHECK FEE 23' �� — <br />(2) PLUMBING �' � � �� <br />(3) MECHANICAL - � �' �� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING F�RMIT ISSUANCE �D' O6 <br />(A) TO BE DFTERMINED BY BLDG INSPECTOR <br />II`►[K�l <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATIUN .�� �-�'T' G%t/t.iT� ��l <br />CHART <br />(5) DRIVEWAY PERMIT TO BE P,�ID PRIOR TO BUILDING PERMIT IS- <br />�UANCE 2 C� FEET GGk/C DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />�FOOTAGE � � <br />N, � E, W <br />SEWER CONNECTION CHARCES <br />YEAR � TRUNK S �22• J�� <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER ��'HARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />� <br />S ¢22 • 3� <br />� �� <br />3/5%d 30' az' <br />�-. <br />5 �p . d'a <br />TRUCK $ <br />LATERAL <br />APPROX. LOCATION Of SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />API'ROVAL: <br />/./ <br />_ CHARTT�- �-ZB-i <br />DAT[ <br />DATE <br />