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DEi .ATMENT OF COMMUNITY DEVELOPMEN. SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS 774 F� S TYNE S' Q <br /> (1) BUILDING PERMIT FEE f 72,,000, S2 $ 3's'2- 00 <br /> (A) PLAN CHECK FEE Pp. Ak 5j 95¢ <br /> (2) PLUMBING 24. 00 <br /> (3) MECHANICAL 22. 5 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE &o. <br /> �/ Q0 <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR �— INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION IA to-r.00Lai, <br /> h9f-, v 3' to ot= F.I.G• GOA CHART LA-1 — 2 (_l <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE 20 ..FEET DRIVEWAY(TYPE) $ ��' Uv <br /> $ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND -Z _DISTRICT 4G FOOTAGE _ <br /> N, S, E, W <br /> NOTES <br /> 5f c�ta� <br /> -6C=14/62 <br /> OizA LoCocj— 8c-.3 <br /> Ldr�--a 1 <br /> .F. K•G�. 221 . os, <br /> SEWER CONNECTION CHARGES <br /> YEAR � _TRUNK S /0' OCA <br /> C5/ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ !/O. DC7 <br /> SEWER PERMIT FEE 1 Is 3Or�0 <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ O- Za <br /> LATERAL <br /> SEWER SERVICE �r�y <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: SE3y� STUges�=n Tr, <br /> ltsapeo� q9 p-r W oc 1.4 ,W '7 D�rTt+ <br /> CHARTS <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9-179 <br />