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)-1 - I Le??4r--- S-(. —a AiL <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICLS <br />BUILDING PERMIT INFORMATION <br />ADDRESS 170E (0 3 VZO C'S' S.L —TYPE— <br />(1) BUILDING PERMIT FEE �'`13,Inoo •19 $ 3S7' w <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER MI ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. _— WATER SERVICE, APPLICATION NO. _— <br />(C) APPROX. LOCATION (0" MA41&i bF'PIZO+r IC7 FT - <br />suPPL- f <br />C4 OTC to e� W CHART r2— (.e'" Z8 _,r <br />(5) DRIVEWAY PERMIT TO BE PAIL PRIOR TO BUILDING PERMIT IS- 8C7 <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />BOND = DISTRICT _ <br />NOTES <br />Sllts� VLF/- JL'k5i'Z7 <br />e>R-o• 9B4-9 s <br />7Du101- r;7 - <br />DRIVEWAY (TYPE) $ 20' <br />b <br />FOOTAGE 7 5 <br />N, 'S, E, W <br />CffA2Glfs *SO - 6b <br />LVj& [t=2 t U %9ErMO D <br />SEWER CONNECTION CHARGES <br />YEAR 8 S TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SFWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE Iy THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />$ <br />s (ebb •bo <br />S Z20-BCD <br />$ <br />F' <br />CHART 12- ls-ZS-S <br />_ DATE <br />DATE <br />Ar.4 <br />5 84 <br />