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DEPARTMFNT OF COMMUNITY DEVELOPMFNT SERVICES <br />�UILDIM(d PERMIT If�FORMIA7'IOIN <br />ADDRESS TYPE ��^-�u�� ���«� "� <br />(1) E3UILDING PERMIT FEE 7�� �G"�• e� g_3Cal. D� <br />(A) PLAN CFIECK FE[ Pn• � �3p�� <br />(2) PLUM[31NG ��'�v <br />(3) MECHANICAL ! 2 • DD <br />(4) WATER SERVICE TO fiE PAID PF:IOR 10 BUILDING PEftMIT ISSUANCE ��• �� <br />(A) TO BE DE'�[RMINED BY D_DG INSP[CTOR�¢ INCH <br />(8) EXIST. WATER SeRVICE, �PPLICATION NO. <br />(C) APPROx. LOCATION ��_� 7o A�� n7 S� c�1t-� <br />�F Lo7 CHART L—�U' ZB�S� <br />(5) DRIVEWAY PERMIT TG 13E PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) $ 2O•0� <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND _ � DISTRICT <br />NOTES <br />�ru�2 7�-'• �'�= <br />bQ� <br />!/7/- 8S <br />/ �J2 c�. �_ l__� <br />g �sa mc7 <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CH�RGES <br />YEAR �� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEW[R Ch!ARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />g _ ,.3.�O.Oa <br />$ 33v DC� <br />S � -B7� <br />$ 330•Od <br />3 <br />SFWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 'SZ���a-rn TD P�t� <br />l�PP.eF�x 5 tZ� S oF- itO E G�rz.ci� o� L o� �,D�P�� <br />� /''T T����. CHnRT C. _ �S`Z$_S- <br />INFO COMPILED f3Y: <br />APPROVAL: <br />5�B� <br />DATE <br />DATE <br />