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PARTMENT OF COMMUNITY DEVELANT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> TYPE 6 'F R <br /> (1) BUILDING PER1v11T FEE 4 7 /2d,00 $ <br /> (A) PIAN CHECK FEE — <br /> L. WAIG <br /> .,y(3) H/ ICAL <br /> NI) ER SERVICE TO BE PAID PRIOR TO BUILDING PER�M)TISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR =( --INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> _ CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �O•St� <br /> SUANCE 2 � FEET ��'�'� DRIVEWAY(TYPE) $ <br /> s ? 93• �� <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> I NOTES �" <br /> i L2�• Qk- "DuE bA! �,16L SEzc�CYL <br /> G /uct3s owe . #to /04 - SD <br /> SEWER CONNECTION CHARGES <br /> /07' <br /> YEAR � TRUNK $ <br /> — <br /> � b� <br /> LATERAL — <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE �k/010$ 3D' By <br /> CATCH BASIN PERMIT FEE 3m CC) <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE 73 O <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE _ --- <br /> APPROVAL: DATE --- <br /> 9-1-79 <br />