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DEP. fMENT OF COMMUNITY DEVELOPME� ..ERVICES <br />BUILDING PERMIT INFOlt11�ATION <br />� �. <br />ADDRESS �'do� ���a ��'T_ TYPE � ��hM . _ <br />(1) aUILDING PERMIT� E }C�S,.ODa•�v $ _Q/7. do <br />(A) PLAN CHECK FEE <br />(2) PLUMBINC <br />(3) MECHANIrAL <br />I'4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO [3E DETERMINF.D BY DLDG INSPECTOR a�� INC11 <br />(B) EXIST. WATER SERVICE, �PPLICATION NO. <br />;C) APPROX. LOCATION ��� C •T- M�� � %r'P►z-ox <br />� St <br />25 � L o r� ar" _ CHART �-� � 0 <br />�. . <br />` r• ` <br />,� • . <br />�' 3+ <br />��: �l �Q° „ <br />� �;3`�� <br />(5) DRIVEWAY PERMIT TO E3E P�ID PRIOR TO f3UILDING PERMIT 15- <br />SUANCE 2 S FEET ��'�LT DRIVFWAY(TYPF) S ��' �'� <br />(7) STATUS OF SEVdER CHARGES: <br />130ND __� DISTRICT <br />NOTES <br />i�0. �122�8b <br />�,� 34U� <br />g � �b <br />3, FOOTAGE _ � �4' <br />N, � E, � <br />SEWER CONNE-C�TcION CFIARGES <br />YEAR '�___—TRUNK <br />LATERA! <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />T0T.4L SEVJc� PERMIT FEES <br />(7) MONTHLY SEWEF CHARGES: <br />SEWER CONSTRUCTION <br />2 ��, vz� <br />��' � o <br />2 g �"e,-a <br />$ 3 p. e a <br />� <br />$ _ ��E. J- D O _ <br />TRUCK S � �S <br />LATERAL -- . <br />SEWER SERVICE NE���'� <br />APPROX. LOCATION OF SIDE SE�NER OR TF.E IN TF1E MAIN: S�� �`�'+a�v � w• �K- <br />�,� L r► T To P�L bP�7r� 1 O e�- i.l o�_. M. l.l . <br />_ CHARTK—�' Z8�' <br />INFOCOMPILED BY: <br />APPROVAL: <br />9-1-79 <br />UATE <br />DATF <br />