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r <br /> DEPARTNEhf OF COMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> TYPE <br /> ADDRESS `�� 7 q ��T� ► P� s d a <br /> (1) BUILDING PERMIT FEE 4-o' <br /> (A) PLAN CHECK FEE 20•D0 <br /> (2) PLUMBING 2/- tF _ <br /> (3) MECHANICAL C2c-00 <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER SIT ISSUANCH <br /> (A) TO BE DETERMINED BY BLDC ,!�.S' cCTOR <br /> (B) EXIST. _ WATER SERVICE, APPLICATION NO _ <br /> -- manna 7�F-r La <br /> (C) APPROX. I.00ATION ' ,rurr <br /> CHART <br /> S-2Zf31� <br /> (5) DRIVEWAY PERMIT TO BEFEETD P^-!OR TO BUILDRIVEWAY(TYPE) 3 �Z- Sv <br /> IS- <br /> SUANCE $ ,552. OO <br /> (7) STATUS OF SEWER CHARGES- <br /> BOND IZ: _DISTRICT FOOTAGE — <br /> N, S, E. W <br /> NOI ES <br /> Sper4AL. Sl.R�e CWIARc,0_-� <br /> Q 2 p�Ly7 7ZZ-8o <br /> 3-aq• e" � u <br /> SEWER CONNECTION CHARGES 2 OU <br /> YEAR _ g TRUNK S <br /> > ' LATERAL <br /> Z lo. v v <br /> j 1OTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE 3 <br /> CATCH BASIN PERMIT FEE $ <br /> �-�_ <br /> TOTAL SEWER PERMIT FEES <br /> (7) MONTHLY SEWER CHARGES: TRUCK 3 � <br /> SEWER CONSTRUCTION -- <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��------ <br /> Dip CHART = <br /> DATE <br /> INFOCOMPILEDBY: — DATE <br /> APPROVAL. — <br /> 9.1.79 <br />