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� <br /> _. � <br /> DE►ARTMENT Of COMMUNITY DEVEIO�MENT SERVICES <br /> BIIILDING PERMIT IN �ORMA'TION <br /> ADURESS 3// ICJ� i�a �— J. � . TYPE sir..u�e �-nn.���.�.- I��.-� <br /> (1) UUILDING PERMIT FEE �,�.3°' t9��"' �9GY1'�• a �c�� �jU. C' <br /> (A) PLAN CHECK FEE �I�'�t� �—:�-==����t- <br /> (2; PLl:,.181PJG 2E;. UU <br /> (3) MECHANICAL �( � C`>O <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE ��� • �C� <br /> (l1) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (D) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> _CHART _ <br /> (5) DRIVEW�Y PCRMIT i0 E3E PAID PRIOR TO BUILDING PERMIT 15- <br /> SUANCE _.. _FEET _DRIVEWAY(TYPE) 3 �O•CG' C) , <br /> b <br /> (7) STATUS OF S[WER CHARGES: <br /> BOND �-�-- DISTRICT FQOTAGF __ � <br /> N, 5, E, W <br /> NOTES <br /> �.�t-1,v�� pc=.1J� � E-�E� <br /> ��,P-/� //71- �j u <br /> -`--�l ti-IUC.E ��l/I�L`� 2LT� <br /> N,Z.� l7�/. DO <br /> �� 471 . � 0 <br /> p :, WER CONIJECTION CHARGES <br /> '�'CO��• � YEAR �'� TRIINK E J?'�- UC�_ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES • S J�-�'�•�U <br /> SEWER PERMIT FE[ S ��' �U <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S ��'�� <br /> (7) MONTHLY SEWCR CHARGES: <br /> SEWER CONSTRUCTION TRUCK 3 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SICE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED DY: _ DATE _ <br /> APPROVAL: DATE .___ <br /> 5 04 <br />