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DEPARTM:NT OF COMMUNITY DEVELOPMENT SERYIfES � <br /> BUILaING PER�IAIT iNFf�RMATI�N <br /> ADnRESS 1C'�yl.n ��Tit �� • S. r�-• TYPF _-5'f-�• <br /> (1) BUILDING PERMIT FEE Cna.D�' �� 3 ��� �� <br /> (A) PLAN CHECK FEE , lvo.�/S nuc <br /> (2) PLUMBINC 2�`�� <br /> � �(3) MECHANICAL � � ��`�� <br /> (4) \VATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE (v0-DC7 <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br /> (B) EX15T. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. L�3CATION 6'T�/?�m 'To P�L• ,aape�� <br /> 6 oF ,C/. E. c_ca2 0.�LoT CHART �� `!" z�' � � � <br /> (5) DR�VEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- -'/1S� ' <br /> SUANCE _FEET DRIVEWAY(TYPE) S �-a-�� <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND -� OISTRICT _FOOTACE <br /> N, 5, E, W <br /> ' NOTES <br /> .��,o� �,r�,a��� ,�,e Co.co.ca�-�o,�G <br /> o2r� f�'i¢-83 <br /> 5,C � � �Eb, oc� <br /> ; � SEWER CONNECTION CHARCES <br /> YEAR �� TRUNK S ���- 0O <br /> LATERAL <br /> 2 : <br /> TOTAL CONNECTION CHAR�ES d $ �'-� ��� <br /> C�� �G��3 <br /> SEWER PERMIT FEE $ �'�'�� <br /> CATCH EiASlN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ 3O'�� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE ' / <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �u��� �'� �'i� <br /> �r�i�o� 2I� �> ,c..� 6�� M �/. � 2 � .dPv.e�c Co�•> ��o� <br /> CHART �-��/"�� -S <br /> INFO COMPILED BY: DATE <br /> APPROVAL:� DATE _ <br /> s�ea <br />