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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS 2 5/ 8 8"7' GL. S_ G . TYPE <br />(1) BUILDING PERMIT 'EE %O 000 -qo <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO hE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. --WATER SERVICE, APPLICATION NO <br />(C) APPROX. LOCATION �ru�3 ) a L <br />LoZ <br />S rx Ul OF Alm tea' CHART 6/-6-ZF3 -S� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />DRIVEWAY(TYPE) $ 2o•y D <br />$ _34&, ©a <br />mn•oy <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />BOND -J'=_ DISTRICT <br />NOTES <br />6.r',e. � gjQQ•DC� <br />3 <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR e9`% TRUNK $ ?-749.00 <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />$ 3O•19D <br />$ Ao • 2.0 <br />S <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 6/0z 'Tv Pli <br />/U ! 'T 1 ��!» . r/F7 1_-� <br />oU ©�' i(QF GA,G' OF GAT a mr <br />CHART u-" f3 _T S <br />INFO COMPILED BY: <br />APPROVAL: <br />5-84 <br />DATE <br />DATE __ <br />z <br />0 <br />m <br />x <br />_ <br />0 <br />m <br />