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_. <br /> _. -�� . , . <br /> DEMR1 :NT OF COMMUNITY DEVELO�MENT S.wVIC.ES <br /> BUILDlNG PERMIT �NFORMATION <br /> ADDRE55 ��a 'I�-T'd p2- S-� . TYPE �- �� <br /> (1) BUILDING PERMIT FEE d-✓`-- �"`�' S 2��' S� <br /> (A) PLAN CHECK FEE Po .� 52r�ri O <br /> I (2) PIUMBING � ��'� <br /> (3) MECHANICAL 21` � "— <br /> (4) WATER SERVtCE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ���- "'�% <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR b INCH <br /> (B) EXIST. WATER SERVICE, APPLICATIOFf NO. <br /> (C) APPROX. LOCATION �y���'��� P��- �9'�o��r <br /> �D � -�DF /(��Cf).2. CHnRT S - '22� d <br /> (S) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDInC PERMIT IS- <br /> SUANCE '�� —FEET ��DRIVEWAY(7YPE) S � 5� <br /> *> �78 -c� <br /> p) STATUS OF SEWER CHARGES: <br /> BOND -� DISTRICT 2 � FOOTAGE <br /> N, 5, E, W <br />� NOTES <br />� -�'-^�--�lr�L ����/Efz, GEf+�2C�1_.'S <br /> i�[?�7'J 'Z <br /> r <br /> C�� '-( 22-8i� <br /> i <br /> 33q . o <br /> SEWER CONNECTION CHARGES <br /> YE�R 8 � TRUNK S Z70-do <br /> LATERAL <br /> TOTAL CONNECTION CHARGES 1 _ Z�� '�U <br /> SEWER PERMIT FEE �1 �$� S 3�•�O <br /> CATCH BASIN PERiNIT FEE 0�3 gI <br /> TOTAL SEWER PERMIT FEES �Igl S �-�U <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S I•�`3 <br /> LATERAL � <br /> SEWER SERVICE ��� � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAiN: ���^' �� '�S <br /> ,¢QP.eUY ��= 7 S O�- /�f�-C_G'OL�-� � ��•P-o,t _ <br /> /"F�' ?��,�. _ CHART _//- 8-Z£3-S' <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 1 _ - <br /> '11J9 <br />