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DEF rmENT OF COMMUNITY DEVELOPMEN. ARVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS 4 -7-1-L " V:L S Lu TYPE _ S <br /> (1) BUILDING PERMIT FEE 72,5 0• °� $ G <br /> (A) PLAN CHECK FEE 0 '5l!iGt <br /> (2) PLUMBING 2(c,. OD <br /> (3) MECHANICAL 'z 2 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE OC <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 514-- INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <uaT�- TAIh eeog)' <br /> 2F-r L. oF- h�.W cjo� <-oT CHART W ' 2 t4 <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- SO <br /> SUANCE ti' �5 FEET GO,-/c, DRIVEWAY(TYPE) $ <br /> 3 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT t' FOOTAGE _ <br /> N, S, E, W <br /> NOTES <br /> SEC l Al SJ=_LUEQ- C 4e—S <br /> O <br /> IC-_,o L06 q- 8 rj <br /> ptzkw% 2 <br /> �L2 <br /> SEWER CONNECTION CHARGES r I O 00 <br /> YEAR SL TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ //f) - LD f5 <br /> SEWER PERMIT FEE <br /> CATCH BASIN PERMIT FEE �I'IN <br /> TOTAL SEWER PERMIT FEES $ '50.on — <br /> (7) MONTHLY SEWER CHARGES: $ .Z-0 <br /> SEWER CONSTRUCTION TRUCK — <br /> LATERAL <br /> 5, 10 <br /> SEWER SERVICE <br /> O.PPn lit <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> t LL-) 6I- ? <br /> CHART @ IZ -ZB-+A <br /> INFOCOMPILED BY: — DATE <br /> APPROVAL: - <br /> DATE <br /> I`1 1 <br /> 1' 't <br />