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DEPAlITMENT OF COMMUNITY DEVELOFMENT SERVICES <br /> gUILDING PERMIT INF�RMATION <br /> �� o, �r� .�'�.���. .d'��, <br /> ,ADDRESS ��0� �"�r� �`t"� TYPE l7���- <br /> (1J BUILDING PENMIT FEE l���LZO' �� $ �l��S G <br /> �}-j N Cvss3 7 <br /> (A) PLAN CHECK FEE /� �� <br /> (2) PLUMBING ,� ,�2,�-� <br />� (31 MECHANICAL <br /> (4) WATER SERVICE TO RE PAID PRIOR TO BUILDING PERMIT ISSUANCE — l�'�� <br /> (A) TO BE DETERMINED BY DLDG INSPECTOR ��NCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br />� (C) APPROX. LOCATION <br /> I <br />� CHART U- �3 -zf�� � <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT �S- �O�DD <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> b _ <br /> II (7) STATUS OF SEWER CHARGES: <br /> BOND -� DISTRIC'f FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> 5�t�Z� Z�4J�Cl`:��'aJ7 �� <br /> �/J 7 Z2-8� <br /> �� �Z <br /> �G./1. 339-'-"� <br /> SEWER CONNECTION CHARGES z7� �J <br /> YEAR �3 TRUNK S <br /> LATERAL �c� �f�„?9�"� <br /> TGTAL CONNECTION CHARGES � 27�-�U <br /> SEWER PERMIT FEE S ����� <br /> CATCH BASIN PERMIT FEE �, — <br /> TOTAL SEWER PERMIT F[ES 2��'� S 3�-� � _ <br /> (7) MONTHLY SEWER CHARGES: 1 <br /> SEWER CONSTFUCTION TRUCK 5 j <br /> LATERAL j <br /> 1 <br /> '- SEWER SERVICE <br /> �.� ..� .. . �„ ��, . � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: � ��'? <br /> OP/dN� � f=T �-/ C�j h.CL� .� " �'G GE'T �• /�i:�'L/,C�.0 <br /> � S F=r A G"��✓ .- •—�-- <br /> — CHART G!_' b ..Z�._ � <br /> I <br /> � INFO COMPILED BY: DATE � <br /> AFPROVAL: DATE <br /> 9.7.79 ' <br /> J <br />