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F+ <br />6F, f i�:�l� <br />DEPARTMEkT G�F COMMUNITY DEVELOPMENT SEVtVICES <br />BIJIL�ING �'�R:l��T 1N�OR1�1�a�'IQM1! <br />ADDRESS <br />7313 7T�1 ��-� TYPE_ ����� <br />(1) BUILDING PERMIT FEE �-�-O,OOC�.00 $ ��3 Q� <br />�A) PLAN CHECK FEt /✓A 5�G <br />(2) PLUMBRJG 2 z . ��__�'__ <br />(3J MECHANICAL ��� �r9� <br />(4) WATER SERVICE TO BE PAID PRIOR TO 81!ILDING PERMIT ISSUANCE <br />(A) TO 8E DETERfv1iNED BY BLDG INSPECTOR �_ INCH <br />(p) EXIST. WATER SERVICE, APPLICATION iJO. <br />(C) APPROX. LOCATION h`"u��::� 7v ���- A�P.r=F�K 2�-r <br />5 6� iti.GU Go,e o�= f�oY CHART L-� z- Z£�' <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE .FEET DRIVEWAY(TYPE) � <br />S <br />(7) STATUS OF SEWER CHnRGES: <br />BOND � DISTRICT FOOTAGE <br />N, S, E, V`� <br />NCTES <br />SEWER CONNECTION CHARGES <br />YEAR � 4 TRUNK <br />LATERAL ��.a �G3 `16-`� <br />TOTAL CONNECTION CHARGES <br />SEWER PER��11T FEE <br />CATCH 6ASIN PERMIT FEE <br />TOTAL SEWER PER1v11T FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />(y�_Od <br />Z O- DG <br />$ 2_7O -.OU <br />$ Z'�-L9a <br />, y353� 30.8� <br />•°- <br />$ �[C�. G'C7 <br />S <br />LATERAL <br />SEWER SERVIC[ <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �T �gA%� ��' �� — <br />� 3 4- F� 7 �./ o F 5. cu c. un � A-or�2 A�c � rr Y�CZ.� _ <br />— CHART L- �"z-Z�'-d <br />INFO COMPIL[C BY: <br />APPROVAL: <br />41�79 <br />DATE <br />DATE <br />Z <br />0 <br />c� <br />m <br />.. ., <br />�„ <br />... � <br />�., _ <br />0 <br />m <br />co <br />r� o <br />� <br />-� � <br />� 1 <br />m <br />-� z <br />m� <br />oz <br />c <br />�_ <br />,-. ... <br />�� <br />< <br />T� <br />O A <br />�7 i. <br />��� <br />x <br />m �-� <br />v <br />0 <br />or <br />c� �, <br />c in <br />3 N <br />m <br />zc� <br />�r <br />. m <br />n <br />� <br />