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Dk..�RTMENT OF COMMUNITY DEVELOPMCn f SERVICES <br /> BUILDING F'ERMIT IN ��RMATIQN <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT FEE g <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) fv1ECHANICAL <br /> (4) WATER S�RVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 375• � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR ��� INCH � 'j� '�Pzt.r�c,� �CP��Y <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATiON � �� Mia au A.pp2o,c l p vT <br /> E ev � eo l�Lauo�.) �HART_�'V � �Ld-4- <br /> (5) DRIVEWP,Y PERMIT TO BE PAID PRIOR TO BUIIDING PERMIT IS- <br /> SU.ANCE FEET DRIVEWAY(TYPE) S �a • '-S d <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BONU �_DISTRICT 34 FOOTAGE ! Z� <br /> N, S, E, � <br /> NOT@5 <br /> SEWER CONNECTION CHARCES y�, �3 <br /> YEAR �� TRUNK S �a � <br /> LATERAL 5�•�'✓ 4=�•. a�' <br /> TOTAL CONNECTION CHARGES ���10'S�_� <br /> _ �� � <br /> SEWER PERMIT FEE � � F � � $ ��� <br /> / l <br /> CATCH BASIN i ERti11T FEE� ��7 , <br /> T�TAL SEWER PEkM1T FcES `�°%� S _ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ _3• �3 __ <br /> LATERAL �• ¢'S <br /> SEWER SERVICE �� �`����n <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��`� ►�-ti/��/v e� .�C" '-- <br /> �1�v�3oc� 19�_�/�v L�JT avroax !� ' Lu a�/.� � a�P,e� <br /> 7 FT D6�-�, � .�Peo.� aJb � 7 �5 ec N1•EfeHART X` 12- Z8-d <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> I . <br /> 94J9 <br />