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DEPARTMfNT Of COMMUNITY DEVELO►MENT SER'/ICfS <br />BUILDING PER.MI7 INFORI�AATION <br />� � <br />(�-� <br />ADDRESS �i � �d � r�` (�l. C� TYPE 1'L- � ' �� <br />(1) i;UILDINC PERMIT FEE S"�� p aa � s. �? 9S � <br />(A) PLAN CHECK FEE � ;' l'�., � ,: <br />(2) PLUMBINC ,� o v' — <br />(3) MECHANICAL „�,� 5-` <br />(4) WATER SERVICC TO UE P�IO PRIOR TO BUILDING PERMIT ISSUANCE ( O `' <br />(A) TO BE D[TERMINED BY BLDG INSPECTOR _ ��`/ INCH <br />(0) EXIST. WATER 5 RVICE, APPLIC TION NO <br />(C) APPROX. LOCATION , -'c � �Jl,/." � _ �� � <br />._ CHART <br />{5) ORIVLWAY PERM?IT TO BE PAID PRIOR TO BUILDING PERMIT IS- o <br />a— <br />SUANCE %}c�" FE[T _ pRIVEWAY(TYPE) f� �r'D _ <br />E - <br />(7) STATUS OF SEIYER CHARCES: <br />BOND �� - DISTRICT <br />��/ <br />tG-t�`-' ,��P����q,��.en � �-e� <br />(�r/,�rTti:o:c.�.�,c'1 � <br />l / 7/ - sf-'s— <br />lC, <br />�) .//' % (/% <br />!U—r„-L� i��,G,�G,rCy..:c.�� <br />! <br />2�-.� /7 9 ' <br />y �. <br />�c�•�-/'/ L// / _ . <br />_ r" <br />C 5�'._ <br />FOOTACE <br />N, S, E, W <br />SEWER CONNECTION CHARG[5 <br />YEAR TRUNK <br />LATERAL <br />TOiAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PEP,MIT FEES <br />(71 MONTHLY SEWER CHARGES: <br />5[WER CONSTRUCTION <br />SEWER SERVICE <br />AFPROX. LOCAj�O�VOf� 51[�E SEWER <br />. <br />-- � �� i� `�_1�: <br />INI O COMPILED DY. <br />APf'ROVAL: <br />S�B4 <br />,.. <br />b � 3 D -- <br />S �in <br />f `3 O � <br />TRUCK S <br />I.ATERAL <br />THE MAIN: — - <br />CHART.,�' ,L,%�� S-S <br />DATE <br />DATE <br />