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DEP�TMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PER11�liT' 1lVFORMATION <br />ADDRESS 7z1�- �'r/� �- �' TYPE_ <br />(1) BUILDING PERMIT FEE L�l�Q�Q. �v <br />(AJ PLAN CFIECK FEE <br />1:2) P',.UMBING <br />(3) MECHANICAL <br />(•�) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR ��,('� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />5�2� <br />a 2S7o�Ob <br />/j,�. OZJ <br />/ Z � !� f� <br />lv0 - 07J <br />CHART <br />('i? DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE ZS FEFT ��ti C' DRIVEWAY(TYPE) S �2' J� <br />S <br />(?) STATUS OF SEWER CHARGES: _� <br />E�OND DISTRICT 1� <br />NOTES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR � Z TRUNK <br />LATERAL <br />TOTAL CO�INECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />i7) �v10NTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />$ Z70• Ua <br />g G70- t�U <br />g �O, Q O <br />$ �'�-Od <br />TRUCK b <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPRO�/AL: <br />3 b79 <br />CHART <br />DATE <br />DATE <br />