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DE�'ARTMENT OF CpMMUNITY DEVELOPMENT SERV�CES <br />BUILDIRIG �ERiy11T Ife1FORMA�'Id�N <br />ADDRESS �P �_ T �� ,5�,�-.-4_ ; _• - � TYPE � F/�? <br />(1) BUILDINC PERMIT FEE �-O�•.``=� g_ 2�• coa <br />(A) PLAN CHECK FEE - <br />(2) PLUMBING -ZE,. �D <br />(3) MECHANICAL (Z •pv <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING F'ERMIT ISSUANCE �'�• olJ <br />(A) TO BE DETERMINED BY BLDG IIVSPECTOR __ 3�¢- INCH <br />(B) EXIST. WATER SERVICE, APPLICAl'ION NO. <br />(C) APPROX.LOCATION �� PL,F�-� LtTic,ti-�;' _._ <br />� •�� CHART <br />(5) DRIVEWAY PERMIT TC� BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE �� FEET C�tiG DRIVEWAYiTYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />FOOTAG E <br />N, S, [, W <br />SEWER CONNECTION CHARGES <br />YFAR � �' TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERfv11T FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHhRGES: <br />SEWER CONSTRUCTION <br />% Z �� <br />S �'7C) • c� v <br />g 7_ 7�' v J <br />$ �O r�c% ! <br />g .-�c�� . c�tJ <br />TRUCK S <br />LATERAL <br />SEW[R SERVICE <br />APPROX. LOCATION OF S/ID�E SEWER OR TEE 1�1 THE MAIN: �_p(T 'T� <br />��D PT S ('�4= IJ .�.U. !".�^�l�. i�f- �.fl T 7'L V-� <br />INFO COMPILED 8Y: <br />P.PPRL)'VAL: <br />41�79 <br />CHART � �Z-ZS-`1 <br />DATE <br />DATE <br />r <br />a <br />�I <br />