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DEPARTMENT OF COMMUNITY DEVELOPMENT sEl2VICF5 <br />BUI�,DlNG P�RINIIT IN�ORI'�9ATION <br />� , <br />ADDRESS ___TYf'E__�'�'��'— — <br />�,� , $ �LC"'cca ��� <br />(1) BUILDING PERMIT FEE � 3�cr�} -�' #- �j D4 <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANIC�L <br />(4) WATER SFRVICE TO ElC PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETER�1INFD E3Y BLDG INSPECTOR ��NCH <br />(B) EXIST WATFR SLRVICE, APPLIC�TION NO, _— <br />(C) APPROX. LOCnTION � A�- "�� �� u Ar���2c�� �4�T <br />S C�v � CC �STd �. Q�TWART S�� �Z <br />t Px�U <br />22� �� <br />�'3�� d� <br />(5) DRIVEW�Y PEKMIT TO BE �'�ID PRIOK 1O l3UIl.DING PERMIT 15- /Z `�� <br />SUANCE ��" ' ----1`�;T<�fti�'�._ _ORIVfV�nY(11'�'L)?� <br />g _ 4q�.�z> <br />(7) STATUS �)F SEWER CHP.N:'f � <br />BONL� _. �— DISTRICI <br />NOTES <br />� _ � <br />roornc,t _---- <br />ri, s, t , w <br />S��x�'- 't�l= ��.-OFN�c�7 f-t_L-=� <br />d�P�O � !� [. �� - £'� �, <br />a�� � , <br />� � :���� �'�' <br />L� ' �_ �'l-`-7 7 � <br />sEw�K �oNNt:crioN cF+nuct_s <br />YEAR �� TRUNK <br />LAT[R�L <br />TOTAL CONNf-CTION CHARGFS <br />SLW&R PERMIT FEE <br />CATCH BASIN PERMIT FcE <br />TOTAL SEWFR PE�MIT FEES <br />/-> .. , �ri C ; <br />� _/ <br />_-� � �.� <br />$ _7'Zc'�-OrJ <br />$ 3�.��u <br />b 3c7. Ucl <br />(7) MONTHLY SEN'EI' CHARGES. (. �S <br />SEWER CONSTRUCTION TRUCK $ <br />LATCRAL 2" 2�'~ <br />�./(� <br />SEWER SERVICf - <br />OF �75 i�d S. {!64� <br />AP?ROX LOCATION OF SIDE S[WER OR 1'EE IN THE MAIN �_Mn i-' �— <br />^�.au �j' � /—n �� ti � u LA`3L�--��:�T._ <br />ria] �,lJ__. � l-ir] C,AZL-A.O� . <br />_1. ,,. . i <br />CHART �'� �"���s <br />clu�x w�r.� P�uU..� wo� �e<o.z. ,—.v c.v�ti.it�..z�.u� a,�� �.��, w.��� <br />INFOCOMPILED �Y: <br />�PPROVAL <br />DATE <br />DAT[ <br />