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Dt. ARTMFNT OF COMMUNITY DEVELO�Mc�.f SERVICES <br />BUILDING PERM[T 1(�FORMATION <br />ADDRESS 9O /O -�� ��. �S•e . TYPE � F Q• <br />(1) BUILDINC PER111T FEE (��, 950• °� E �'L8•oa <br />(A) PLAN CHECK FEE pa.� 5oBop�_ <br />(2) PLUMBINC �'�� <br />(3) MECHANICAL 25.SZ� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER��11T ISSUANCE �•�� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPI.ICATION NO. __ <br />(C) APPROX. LOCATION '�s'u.ie�co io PI�, saon�x 'SrT <br />� er� 3•Wc.e..1...oT CHAR1 ��'S`-38 <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING FERMIT IS- <br />SUANCE �% FEET GONG. DRIVEWAY(TYPE) b �' •50 <br />g 4¢(0• 00 <br />(7) STATUS OF SEWER CHARGES: <br />BOND —Z� DISTRICT �p fOOTAGE <br />N, S, E, W <br />NOTES <br />SW2r,e� .��t.e.�2 Gesreeprs l�-� d4� 7Z'L-8ZD <br />•.r a• <br />5. F' Q. �'33 9, �o <br />S[WER CONNECTION CH�RGES 3 3��� <br />YEAR �� —_TRUNK 5 34��� <br />LATERAL �� � —� <br />TOTAL CONWECTION CHARGES_�:3�' 3 �`�-�II- <br />SEWER PCRMIT FEE <br />CATCH kiA51N PERMIT FEE <br />TOTAL SE�NER PERMIT FEES <br />��•`� S 3�•oa <br />� i��il��s — 3o.m�� <br />(7) MONTHLY SEWER CHARGES: <br />5[WER CONSTRUCTIGN TRUCK S �'�S <br />LATERAL <br />SEWER SERVIC[ 5•/O <br />A`PtPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: Mia�Fa tu 4rrr 7Jn. s.� <br />WW�LAT Tp P�l,�, ppW�--h�- 2c� F't E c�r 5� W GOe es i.er� <br />UcPz�� ? --- CHART �-�4- z8- �- <br />INFO �OMPILED BY: <br />APPROVAL: <br />DATE <br />DATE <br />41�79 <br />� <br />