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- r� <br /> � • . <br /> DE�wRTMENT OF COMMUNITY DEVELO�MEhi SERVICES <br /> Bl" ILDING PERMIT INFORMATION <br /> ADDRE55 �q « 23� �`�E � TYPE � �e <br /> (1) BUILDINC PERMIT FEE Sf39� 000•�o S 3d.5, �"a <br /> (A) PLAN CHECK FEE 29 '� '� <br /> (2) PLUMBINC ¢� � � <br /> (3) MECHANICAL 2 �•0 0 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ��' � � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR��._--- �NCH <br /> (B) EXIST. WATER SERVICE, APPLICATI�ION NO. <br /> (C) APPROX. LOCATION �� �T�Q-F� p'�O�"- �A �T <br /> S os i-Ic Goo oR �t�S__CHART W - d"( <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ` � � <br /> SUANCE � � FEET �� DRIVfWAY(TYPE) 5 <br /> $ sr. 75 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �—DISTRICT 2� FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> ��Ci�e. '"!�� ��'��Zts63 Qt..�2 �� �' <br /> ,p�-p S 5p4• � <br /> SEWER CONN�ION CHARGES <br /> YEAR <br /> � TRUNK S 'Z �5. O b <br /> LATERAL <br /> TOTAL CONNECTION CHARGES 3 25� � � <br /> 5 �.6 b <br /> SEWER PERMIT FEE <br /> ��� <br /> CATCH BASIN PERMIT FEE - � ,Bv <br /> TOTAL SEWER PERMIT FEES 5 ' <br /> �� <br /> (7) MONTHLY SEWER CHARGES: �'� <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL � S�0 <br /> SEWER SERVICE � _ _� .. �,�g�t� Tn <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> /J(F am.G �o__'r � ��x lQ <br /> CHART u' 3�'24-d <br /> INFOCOMPILEDBY: _ DATE <br /> ' APPROVAL: DATE <br />