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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS 7/0 89 Tc4- 6r S•E. TYPE 7•F:,2, <br />(1) BUILDING PERMIT FEE 4Cc0,6I90• 'P-r=? S 3/3. OCU <br />(A) PLAN CHECK FEE Pb.a 7S9796 <br />(2) PLUMBING 2o•oo <br />(3) MECHANICAL /Z • 00 <br />(4) WATER SERVICE TO BE PAID PF'.IOR TO BUILDING PERMIT �ISSUANCE Ceo• O d <br />(A) TO BE DETFRMINED BY BLDG INSPECTOR �,pINCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION !9 1949t= -M Pl '4eav'm <br />5SFT " o► ILLY- "97CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />-FEET <br />(7) STATUS OF SE.WLR CHARGES: <br />BOND —DISTRICT <br />NOl LS <br />esemoE$ 'p3%E3F_= . <br />c-000 984- &s <br />srce -'q8oa j¢ <br />DRIVEWAY(TYPE) S 20• Oy <br />$ 4--Zs. 00 <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR —�S TRUNK S <br />LATERAL <br />TOTAL CONNECTION CHARGES 3 <br />SEWER PERMIT FEE aspl9 SyD-60 <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES 3 3Q-�U <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK i <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN:((�I�r+m 'Co PIC. AID <br />IA- t-T otr M. 4J . $ > kdppmbK &S i-'r iJm�sP. <br />CHART'�-16 _28_'S <br />INFO COMFIT ED BY. _ DATE <br />APPROVAL DATE <br />5©4 <br />