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DEP„RTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> TYPE . <br /> ADDRESS <br /> $ <br /> (1) BUILDING PERMIT FEE 4-7, 96-0`0' _ <br /> (A) PLAN CHECK FEEUp <br /> (2) PLUMBING /B -D p <br /> (3) MECHANICAL (pQ. 6'd <br /> (4) WATER SERVICE TO BE PAID PRIOR. TO BUILDING PERMIT ISSUANCE <br /> INCH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION IbJ -� n 70 OA'O/T.&-- ��-' <br /> QOF 7 SUJ DC q G� GDl ART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE7cp —FEET e_�x DRIVEWAY (TYPEI S 287 Q� <br /> 3 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND r DISTRICT (P —FOOTAGE: _ <br /> N, S, E, W <br /> NOTES <br /> b2�nZ 221. od <br /> SEWER CONN,EQCTION CHARGES �O7 Sb <br /> YEAR c TRUNK $ <br /> LATERAL X07. S 7� <br /> TOTAL CONNECTION CHARGES J $ - <br /> ���I� 1 I <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES i s <br /> (7) MONTHLY SEWER CHARGES: TRUCK $ Z— <br /> SEWER CONSTRUCTION _ <br /> LATERAL 3-P� <br /> SEWER SERVICE novin SPL <br /> APPROX, LOCATION OF SIDE SEWER OR <br /> EE IN THE MAIN: <br /> M G of <br /> LS s- <br /> tiI V T; CHART <br /> n <br /> __ DATE <br /> INFO COMPILED BY: DATE <br /> APPROVAL: <br /> 9 1 79 <br />