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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUIP DING PERMIT INFORMATION <br /> ADDRESS _ —TYPE <br /> •z-7�{-. O V <br /> (1) BUILDING PERMIT FEE 4-s'a-:0 . c)J b 4cy,72 VOL:- <br /> (A) PLAN CHECY. PEE — 20 co <br /> (2) PLUMBING 2'Z ,,sn <br /> (3) MECHANICAL �� C D <br /> (4) WATER SERVICE TO 13E PAID PRIOR TO BUILDING PERMIT ISSUANCE _— — <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR _ INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> 0 <br /> --1 <br /> CHART <br /> m <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- 2p-w <br /> SUANCE _---FEET DRIVEWAY (TYPE) b �,� T <br /> 0 <br /> m <br /> (7) STATUS OFSEWERCHARGES: mo <br /> BOND ZP- -J— DISTRICT FOOTAGE o <br /> N, S, E, W yy y <br /> m <br /> NOTES z <br /> a -+ <br /> rx <br /> c.•r� 9P�4- � T <br /> rn <br /> f�.UfU S F" m. <br /> N <br /> O <br /> or <br /> nm <br /> C N <br /> 3 N <br /> 'L f� <br /> SEWER CONNECTION CHARGES :{m <br /> YEAR �¢ TRUNK b ' U X <br /> LATERAL <br /> n <br /> TOTAL CONNECI ION CHARGES b — -, <br /> x <br /> SEWER PERMIT FEE <br /> b 30�OL z <br /> CATCH BASIN PERMIT FEE m <br /> TOTAL SEWER PERMIT FEES <br /> (7) MONTHLY SEWER CHARGES- b <br /> SEWER CONST! J. TION TRUCK _ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIP.-: SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: _ DATE — <br /> -- <br /> APPROVAL: DATE <br /> 5 84 <br />