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DEPAR��./ENT OF COMMUNITY DEVELOPMENT ScRVICES <br />BUILDING PERMIT INFORMA�ION <br />A�DRESS � ��� �Tr.{ AVC TYPE Gn•`��^". <br />(1) HUILDING PERMIT FEE `�3�7�E�Z`-�' � g /S Z'-�. `�� <br />(A) PLAN CIiECK FEE <br />(2) PLUMBING Z � � E�U <br />(3) MECHANICAL <br />(d) WA?ER SERVICE TO BE PAID PRIOR TO DUILDING PERMIT ISSUANCE <br />iA} TO BE DETERMINED BY DLDG INSPECTOR ��^ INCH <br />(Ei) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO [3E PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE ���sr,N� FEET DRIVEWAY(TYPE) S <br />� <br />l7) STATUS UF SEWER CHARGES: <br />ROND DISTRICT <br />NOTES <br />::��ic� t�����G���.z�vr ��� <br />� n� ,�a�t c=� �cn�� r� �,� �--� <br />1� 04%T��1 Gh...��'L-.-I,G <br />� 4 3�7. i c� <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TP.UNK <br />LATER.AL <br />TOTAL CONNECTION CHARGES <br />�', 7ur `— — <br />S <br />3 — <br />SEWER PERMIT FEE � a `�U• ��� <br />CATCH BASIN PERMIT FEE ,I �'� (O. OU <br />TOTAL SEWER PERMIT FEES '��Islq:�l$� ������ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK $ —� <br />LATERAL �� <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN TFiE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />94�79 <br />CHART <br />DATE <br />DATE <br />/�-/1� Tc,�'�� <br />