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^'ART�dENT OF COMMUNITY DEVELOP�. .JT SFRVI�ES <br />BUILDINt; FERMIT INfOitNiA�TI��I <br />Co J/3 Gt1 ,�bZ�.FF 'Tl . TYPE Go�iM. <br />ADDRE55 _- -- <br />(1) BUILDING PL•i2MIT FEE C1SOB�• �v $ 2/7. Bo <br />(P.� PLAN CHECK FEE �FO.� �l'5398 <br />(2) I'LU��IHING — 2 �� G^�' -- <br />(3) MECHANICAL 2B.nu - <br />�� o c7 <br />(4) WATER SERVICE TO 8E PAID PRIOR TO BUILDING P[RMIT ISSU�NCE <br />(A) TO BE DETERMI�VED BY BLDG INSPECTOR � INCH `� j�'� <br />r <br />(B) EXIST. �:'�1TER SERVICE, APPLICATION NO. _ S'� ,f0 <br />(C) APPROX. LOCA i ION ����� G.'Z,. M�a�J tiPP� 2�Fr � 3�` <br />� �, oF�{i ST CH,ART � -ll O <br />(5) DRIVEWAY PERMIT TO 8E PAID PRIOR T� [3UILDING PERr,11T IS- <br />SUANCE 2 S FEET ��V'l_—DRIVEWAI (TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />DOND S _DISTRICT <br />NOTES <br />3� _FOOTAGE ¢� � <br />N, �(;�+' �- VJ <br />SFV`/ER CUiJtLECI'O�J�H�R.GES <br />YEAR _. - -- � �����-TRUh'K <br />LATERAL <br />TOTAL CONN[CTInN CHAF:GtS <br />SEWER PERMIT F�E � C� <br />CATCH DASIN PERMIT FEF ��}" <br />TOTAL SEWER PERP�IT FEES �,��r�� <br />(7) MONTHI_Y SE\NLR CFIARCES: , <br />SEWER C�NSTRUCTION <br />/2•� <br />'33� . S b <br />2«, JZJ <br />S -_ � � — <br />$" ?s'�D • �U _ <br />$ � ea <br />�RUCK S <br />/•/S' <br />LATERPL —_'— _---. <br />SEWER SERVICE ���`�'Y� <br />APPROX. LOCATION OF SIDF �GWfR OR TEE IN THE MAIN: �'_� N+A���__m'"" li--' — <br />� a� M_�� <br />Bc.�c.ia �z• ��cu, L,� ro P/r� •�t°.�'� � �Z---�--'----- <br />- ----- C r' 1 R l . � --/' _Z E – � – — <br />INFOCOMPILED Bl': <br />APPROVAL: <br />v-,-��� <br />DAT t <br />DnT[ <br />