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D'tPARTMENT QF COMMUD�ITY DEVELOPMIENT SE6rICE5 <br /> BUILDING �'ERMIT INF�RM�TION <br /> ADDRESS �0`�2¢ �UTia �. S G . TYPE _ ��� <br /> (1) BUILDING PERMIT FEE �(� 9� '- -° ° $ `�Q�' �U <br /> (A) PLAN CHECK FEE — <br /> (2) PLUMBING �� �� <br /> (3) MECHANICAL rL ?-DG <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT IS��UANCE LO�- a� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR'�.- INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION s�rur�ca� �'o � Qr� <br /> L�;. <br /> 3 �� E OF S c.v ccz. �F CHART S- 3S`�3 • <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERfv11T IS- j� U U <br /> SUANCE Z 2 FEET DRIVEWAY(TYPE) $ <br /> g ¢l��7. �v <br /> (7) STATUS OF SEWER ("HARGES: <br /> BON[ � DISTRICT 3�P FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SCu�� DE�J�aGh�C-�T G/�A2l�v3 <br /> D,�p 7/S�S v <br /> /�Iz�-n 2 <br /> 5:t=' ,Q�s. 3�y. �d <br /> SEWER CONNECTION CHARGES <br /> YEAR _ � � TRUNK $ � 3d• �O <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ 330� �`' <br /> SEWER PERMIT FEE �`t�l � $ `3 �� � � <br /> CATCH BASIN PERMIT FEE r <br /> TOTAL SEWER PERMIT FEES (,I�1I� $ ��`�� <br /> (7) MONTHLY SEWER CHARGES: � •2 S"- <br /> SEWER CONSTRUCTION TRUCK $ � <br /> LATERAL — <br /> �, <D <br /> SEWER SCRVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: STJg�a� T.� l��PO�� <br /> 12 r-"-r � U r 5 uJ �o� O� L oT � GPP2A,� -7 �t _D'��' � <br /> CHART �" �Jyr2� � <br /> INFOCOMPIL.EDBY: _ DATE <br /> APPROVAL _ --- DATE <br />