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,- <br />DEIARTMENT OF Cf3,L�idUNITY DEVELO�MENT SERVI�ES <br />BUILD�NG PERMIT INFORMATION <br />AUDRESS ��� % d--rN S,—. S• l.t.J� 1"YPE S�2. <br />(1) BUILDING PERMIT FEE d.�•QE.1�•�� j 2SCo�pC) <br />(A) PLAN CHECK FEE --- <br />(2) PLUMBINC <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR 1'O B:.'ILDING PER IT ISSUANCE <br />(A) TO BE DETERMINED BY BLDC INSPECTOR �_ INCH <br />(B) EXIST. _ WATER SERViCE, APPLICATIf;�J NO. <br />(C) APPROX. LOCATION `�� {�u��- U-n�.�TY Rr� <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE 25 FEET cB�v� DRIVEWAY(TYPE) S <br />(7) STATUS OF SEWER CHARCES: <br />80ND -Ll— DISTRICT <br />NOTES <br />FOOTACE <br />N, 5, E, W <br />SEWER CONNECTION CHARCES <br />YEAR S Z TRUNK <br />LATERAL <br />2o.00� <br />( Z� OU <br />(v0 • O C� __ <br />5 3 i.-c� . sE� _ <br />s �7o.c�n <br />TOTAL CONNECTION CHARGES 3 z 70• OC� <br />0 <br />SEWER PERMIT FEE ���� S ✓��• � U . <br />CATCH BASIN PERMIT FEE 3�0�!" _. <br />TOTAL SEWER PERMIT FEES S �✓�• �O <br />p) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK 3 <br />LATERAL <br />Lo• 5Tj <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: LAT Tc:� �'�� A�p(�� �:' <br />'L`1 �-r � or- S,W ce�� cr� L oT � A.PPe�� . <br />(D 1�T "�� CHART L-/ Z- Z- �-¢ <br />INFO COMPILED BY: <br />APPROVAL: <br />9 1 79 <br />DATE <br />D�TE <br />1 <br />� <br />J <br />