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� <br />DE►AAw1ENT Of CUMMUNIi1' DEVELO/MENi �l�VICEf <br />BU{LDING PERMI�' INfORMATION <br />ADDRESS 7YPE l"`-«'� �«" t'� <br />(1) BUILDING PERMIT FEE ���9'� 3 'ZS7-� <br />(A) PLP•N CHECK FEE A �c <br />(21 PLUMBRJG 2� �66 _ <br />(3) MECHA; IICAL ZZ -S� <br />(4) WATER SERVICE TO BE PAID PRIOR TU BUILUING PERMIT ISSIIANCE _ ��'� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. __ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO UE PAID PRIOR TO DUILDING PERMIT IS� <br />SUANCE FEET DRlVEWAY(TYPE) S 2�"v� <br />i <br />(7) STATUS OF SEWER CHARGES: <br />BUND � DISTRICT <br />NOTES <br />��-�LAL ��2 C�CI(� <br />d20 //7/-8}T <br />(--�y '� 1 "i �( . (� � � <br /><�,H,UE]2 _ [�.� 1 . 4) O <br />� i° S `� -�= <br />FOOTAGE _ ._ <br />N, S, E, W <br />5[WER CONNLCTION CIIARGE� <br />VEAR _8�� TRUNk <br />:.ATERAL <br />TOTAL CONMECTIUr� CHARC�ES ' <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />1OTAL SEWER PEKMIT FEES <br />(7) MONTHLY SEWER CHARGCS: <br />SEWER CONSTRUCTION <br />s 3�CJ. E�U <br />�— <br />y _ 33D• c9�0 <br />s '-�'�_Oa -- <br />_� <br />TRUCK S <br />LATERAL <br />S[WER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED DY: <br />APPRnVAL: <br />5�9! <br />CHART <br />DATE <br />DA1 F <br />