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�- :._J <br /> DEMRTMENT OF COMMUNITY DEVELO�MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS 37� 9 '��/� 23,�0 �? TYPE _ ��n� � <br /> (1) I3UILDING PERMIT FEE � -7n� ��.� S 3'�� �v <br /> (A) PLAN CHECK FEE 35. /U I��.ci <br /> (2) PLUMBING 2�'' �D <br /> (3) MECHANICAL , �-�� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING� PER�PAIT��ISSUANCE �� � — <br /> (A) TO BE CETERMINED BY BLDG INSPECTOR -_�___� INCH <br /> ��rs <br /> (B) EXIST. WATER SERYI�E, APPLICATION NO. <br /> (C) APPROX. Lt?CAfION _ <br /> CHARi M- 2/- Zq -S <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUiLDING PERMIT IS- <br />� SUANCE FEET DRIVEWAY(TYPE) 3 2�` �� <br /> b <br />� p) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> /E.lvL� '�. -J'� <br /> �:��a� //7/-� S' I <br /> D�-1P� <br /> i-�zD 4'Z�l• o� <br /> scw�rt !�S'� <br /> � �t9 Y• `�' <br /> SEWER CONNECTION CHARGES <br /> YEAR _. TRUNK E <br /> LATERAL <br /> TUTAL CONNECTION CHARGES b <br /> SEWER PERMIT FEE 5 ��` �� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. L�CATION Of SIDE SEWER OR TEE IN THE MAIN: �� �� �Q�� � �� <br /> /1-u(.L�; - ��p.,�rayt,o • �-/�io2d� �S (.f • S� NI, /l •S� � �F� <br /> TJ�=� _ CHART /t/J-2�-29-5 <br /> INFO COMPILED BY: aATE <br /> APPROVAL: DATE _ — <br /> s�tsn <br />