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r711 <br />DEPARTMENT Of COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS> �•'`�—�-TYPE Ell? <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />20 • dD <br />(2) PLUMBING lS10lJ <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCEo%') too -Do <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- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />BOND --t:M DISTRICT <br />NOTES <br />o2rJ 9 83 <br />Sf=2, - ��iC9O.927 <br />_ DRIVFWAY (TYPE) $ <br />'19C1 <br />--FOOTAGE <br />N, S. E, W <br />SEWER CONNECTION CHARGES <br />YEAR 8 TRUNK <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 />SEWER SERVICE <br />APPROX. LOCATION OF `IDE SEWER OR TEE IN THE MAIN: <br />/L p-p 0 <br />s 330 - mo <br />$ 3p,o•eo <br />s —SO -Qc) <br />s 3o. ©U <br />H <br />CHART <br />INFO COMPILED BY: DATE <br />APPROVAL: _ DATE <br />z <br />0 <br />-i <br />rn <br />m <br />T <br />5 04 <br />