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DEIA�TMtNT Oi GOMMUNITY DEVELO►tAENT SE�VICES <br />BUILDING PERMIT INFORMATION <br />� .�� '-'��,��- <br />ADDRESS OCT�C !_/��i�-cc- T.YP�;�'�'�!`+"` <br />(1) BUILDINC PERMIT FEE �s —�1.9 °� <br />(A) PLnNCHECK FEE �"'�' <br />-- �� <br />(2) PLUMBINC ��n — <br />(3} MECHANIC.AL v'�`� � <br />(4) WATER SERVICE TO BE PAiD PRIOR TO BUILDINC PERMIT ISSUANCE �, 6� <br />(11) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICF., APPLICATION NG. <br />(�) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TG BE PAID PRI(�R TO BUILDING PERMIT IS• �_ <br />DRIVEWAY(TYPE) S _ �-20 <br />SUANCE <br />FEE7 <br />(7) STATl15 OF SfWER CHARGES: <br />BOND ��DISTRICT _ <br />NOTES <br />�GLcrw+- �C;�'aG�:'��-.+�n.� i-e�'— <br />��r��:.se= /�%/- o s— <br />,�`� y%� ` <br />�-- �,�� <br />Gso" <br />FOOTAGE _ <br />N, S, E, W <br />SEWEP. CONNECTION CHARGES <br />YEAR _ TRUNK <br />LAiLRAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOT�L SEWER PERMIT FEES <br />(7) MONTfiLY SFWER CHARG[S: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />5�94 <br />S <br />S "�- � [�L--- <br />g �3 3 0 � <br />��9 <br />S , <br />� a � <br />S <br />CHART <br />_ DATE <br />DATE — <br />0 � 'I <br />��k��� UJ� ,f�:-,�� .�..-:�� ��� �� <br />, / <br />G�,�t,�� �t'��'- /f � " � � : ��— / '' �r� <br />L' <br />