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DEPARTMENT OF COMMUNILY DEVELOPMENT StRVICES <br /> BUILDING PERMIT INFORfV9ATION <br /> ADD7�E55 �p� ��N Awc ��-_ _ TYPE `S � � <br /> ��, n � <br /> (1) IiUILDING PERMIT FEE `��/, 000 � $ �� <br /> (A) PLAN CHECK FEE - � <br /> ,a =`� <br /> (2) PLUMBING � "` v� <br />, (3) MECHANICAL �� <br />� (4) WATER SERVICE T(� BE PAID PRIOft TO BUILDING PERMIT ISSUANCE �� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 7 INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION ' '� � �'�'�"`" ' <br /> �.��� �'�, l �. <br /> / <br /> �.y�-,-� � CHHRT <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUI/LD�ING PERMIT IS- �� <br /> SUANCE � � FEET _�.�.:.c-�3RIVEWAY(TYPE) S �'=-�-a-- <br /> $ �� ��' . � <br /> (7) STATUS OF SEW�R CHARGES: <br /> BONU �DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOfES <br /> SEWER CONNECTION CHARGES na <br /> YEAR .,— ��- TRUNK S -2 I d <br /> LATERAL ��-- � <br /> TOTAL CONNECTION ChiARGES S � 7 � <br /> � <br /> SFWER PERMIT FEE $ �'d <br /> CATCH BASIN PERMIT FEE � <br /> TOTAL SEWER PERMIT FEES 5 � Q <br /> (7) MONTH;_Y SEWER CHARGES: : <br /> SEWER CONSTRUCTION TRUCK a � <br /> � <br /> LATERAL <br /> SEWER SERVICE � <br /> APPROX. �_OCATION OF SIDE SEWER OR TEE IN THE MAIN: ��'f��-� ' v QI�' <br /> `,- �> � E» �.L Got'.. NF GnT f' •4'f'f'L'C� CCFT - � <br /> �L!'P�� _ ' �-1 Z- 2��-I <br /> •��_�__ CHART <br /> INFO COMPILED f3Y: DATE ' <br /> � APPROVAL: DATE <br /> 9 1 79 <br /> � <br />