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� � <br /> D.VARtifA°NT OF �OMMUNITY DEVEIOPMFNT SERVICES <br /> BUILDING NERMIT INFORMAT�ON <br /> ADDRESS 23/� �20[�ow�i� TYPE GpMs+�. <br /> (1) BUILDING PERMIT FEE /�p3, D�p• ov $ (o9d, c-a <br /> (A) PLAN CHECK FEE 8�•�=� �'��- <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �v 7�• � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR I INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 12"' c-L r-n.o�.� �wv�o,� do r'T <br /> G b< � � ErzEao.�nv R�i[7FiART /�- g� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE ��G�� FEET �-0�-/� DRIVEWAY(TYPE) S 2`-��Gv <br /> $ -,// 7� . G 3 <br /> (7) STATUS Of SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE �/4.erl�t�o <br /> N, S, E, W <br /> NOTES <br /> �L�a�, =x�uc� cu,a,ec��.--5 <br /> �P...�o `J t s-�,v t; . w�,. <br /> /��-r� ! �.7� �;SZ73. (v� ':� <br /> ��v�� �/�GdT l� f�" :_ '�.�.�.� <br /> SEWER CGNNECTI�N CHARGES <br /> i <br /> YEAR TRUNK S <br /> LATERAL <br /> -� TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE , g ��D• �v <br /> CATCH BASIN PERMIT FEE �3� �� <br /> TOTAL SEWER PERMIT FEES ����I$I S _ <br /> (7) MONTHLY SEWER CHARCES: � <br /> SEWER CONSTRUCTION TRUCK S - <br /> LATERAL �— <br /> SEWER SERVICE �����L <br /> APPROX. LOCATION OF SIDE SEWER"OR TEE IN THE MAIN: 3Lo'� .�ne .�i � �F �'a�<<�� <br /> �e)' i�'s i� .vr,o�.J �.�vQY�Y 2 '_P- �9` o� NJ ff. <br /> Nx,�! '2�•TuS�r � P..�tzo�ow.w - �r.a-� n.nvcor- 4F':_ CHART M_2F -29 -5 <br /> INFOCOMPILEDBY: DATE . <br /> APPROVAL: DATE , <br />