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� <br />� .) <br />DE�ART��ENT OF COMMUNITY DEVELnPMENT SERVICES <br />BIJILDINC PERMiT INFORMATION <br />ADDf2E55 _.�Hr 74 s.l ��-, S-C.C/• _TYPE 2"�'� S�/�, <br />(1) BUILDINC PERMIT FEE �_3,��� p.Q? S '��/•'�� <br />(A) PLAN CHECK FEE �A�[ c <br />(2) PLUMBING 2D•OC� <br />(3) MECHANICAL _ �,� -Od <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINI; Pf:RM1T ISSUANCE __�0• �C� <br />(A) TO BE DETERMINED EY �LDG INSPECTOR ��A INCH <br />(R) E�IST. VbATER SERVICE, APPLICATION NO'__ <br />(C) APPROX. LOCATION . <br />CHART __ __ <br />(5) DRIVEINAY PERMIT TO BE PAID PRIOR TO BUILDING I ER`41T IS- <br />SUANCE 2�� FEET �E?c1G. DRNE�NAY(TYPE) i <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT � _FOOTAGE __ <br />N. S, E, W <br />NOTES <br />SEWER CONNECTION C NARGES <br />YEAR 82 _TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTh1LY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />� 2�G.ov <br />b 2. 70. c�U <br />s 3�7. OCJ <br />s 3f�. �tJ - <br />TRUCK S <br />LhTERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPI L'c D BY: <br />APPROVAL: __ <br />41 79 <br />CHART �--/Z-Z�$-¢ <br />_ DATE <br />_ DATE <br />0 <br />9 <br />