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r <br /> �_ <br /> , <br /> 7 � - . i <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> E3UILDING PEi�MIT � NFORMATION <br /> ADDRESS 7�C'7 L�Ti-/ ��� •�� TYPE � � 2 ' <br /> 5 � . OU <br /> (1) FUILDING PERMIT FEE 3�, F�c�o • °U 2 <br /> (A) PLAN CHECK FEE -- <br /> (2J PLUMBiNG �d"-ua_ <br /> r (Z �� <br /> (3) MECHANICAL O �.�— <br /> (4j WA i�i SERVICF. TO BE PAID PRIOR TO BUILDING PEt?M�IT! �I$SUANCE �' . <br /> (A) TO BE DETERMINFD BY BLDG INSPECTOR _=J�_ INrry <br /> (B) [XIST. WATER S'ERVICE, APPLICATION NO. ' <br /> (C) APPROX. LOCATION �_�= P� �'-i- �Tt�� 7� <br /> �'./.� _ _CHART <br /> (5) DRIVEWAY PERIv11T TO BE PAID PRIGR TO BUILDING PERMIT IS- 7 S� <br /> SUANC� f '� FEET G���• DRIVEVJ �Y(TYPE) S <br />� b <br /> (7) STATUS OF �WER CHARGES: II <br /> BOND -L-�" DISTRICT FOOTAGE ; <br /> N, S, E, W <br /> NC)TES � <br /> � <br /> I <br /> SEWER CONNECTION CHARCES <br /> YEAR ��L TRUNK 5 � ��' LnU <br /> LATERAL <br /> TOTAL CONNECTION CHARGES 3 27�"�r� <br /> SEWER PERMIT FEE 5 �� �� <br /> CATCH BASIN PERMIT FEF <br /> TOTAL SEWER PERMIT FEES 3 ��" �� <br /> (7) MONTHLY•SEWER C4iARCES: <br /> SEWER �ONSTRUCTION TRUCK b <br />�, LATERAL <br />', � SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: G��7 To �[. .a�P.eo,c <br /> I;� ` 2 �r S o F ti-l.ul c.�Q Frr L o7 � /J-t'/��ox � F;- f�C3� <br /> CHART�"`�Z-Z�"`� <br /> . DATE � , <br /> lNFO COM�ILED dY. <br /> r APP20VAL: DATE <br /> 41�79 <br /> • <br /> i <br />