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�.: ;� <br />DE►A�TMENT OF COMMUNITY DEVELO�MENT SE��'ICES <br />BUILDIf��G PERMIT INFORMATION <br />nDDRESS 2 2• �P _ 9lvTrf 1"�- •�S C. TYPE _ ��i� <br />(1) BUILDINC PERMIT FEE Y�/�� J-� S 2�2'�� <br />(A) PLAN CHECK FEE j�.�G <br />(2) PLUMBI� G �%� QrJ <br />(3) MECHANICAL Z�j'.f'Tj <br />(4) WATER SCRVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ��'�U <br />(A) TO 8E UETERMIN[D BY BLDG INSPECTOR � INCH <br />(il; FXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />l'HART <br />(5) C'RIVEWA,Y PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUAr�CE FEET DRIVEWAY(TYPE) S 2G �v <br />S <br />p) STATUS OF SEWER CH�RGFS: <br />�OND � DISTRICT _ FOOTAGE <br />NOTES <br />N, S. E, W <br />SFVV�R CONNECTION CHARCES <br />YEAR �3 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH I3ASIN PERMIT FEE <br />TJTAL SEWER PERMII FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />E ��� �OC7 <br />s 3�• cho <br />s � ��"1 — <br />TRUCK S <br />LATERAL <br />APPROX. LOCATION OF S7DE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />41�79 <br />CHART <br />DATE <br />DATE <br />