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r� r'�. <br /> D.IARTMENT OF �OMMUNITY DEVELOPMFNT SERVICfS <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS 2 3/7 P��oof7`..�nY TYPE _ C�MM_ <br /> (1) BUILDING PERMIT FEE 2�3,DO0• �� S Cn9d• '"a <br /> (A) PLAN CHECK FEE 8�•/3 ?.�ic= <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERViCE TO BE P,41D PRIOR TO BUILDING PERMIT ISSUANCE �7�• -� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR � INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 1�" �s i-.�v�,� n,ove� �p rT <br /> C d� �q� F2 •,�� �f7HART-- /U- g£� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE 2 "2� FEET C�'�-/� DRIVEWAY(TYPE) S 2G.J•�v <br /> $ �/ 7� . G3 <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND DISTRICT FOOTAGE �1��0 <br /> N, S, E, W <br /> NOTES <br /> =�3JlsL �UC� G/1�A�CSL`� „ . �::...;r :. <br /> �P...p "zl5-SU <br /> D.�_� / � <br /> r7l �5273. !n¢ . <br /> ��� S¢/ScaT x JsE3 = ''�=^,�a <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK 8 <br /> LATERAL <br />. <br /> TOTAL CONNECTION CHARGES b <br /> SEWER PERMIT FEE 1 5 ��• �U <br /> CATCH BASIN PERMIT FEE �,3� �� <br /> TOTAL SEWER PERMIT FEES I����I b <br /> (7) MONTHLY SEWFR CHARGES: � <br /> SEWL•R CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE /-�78,-�-�-��---� <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 3Co'' .�r�e,.�i � Av Br��n«�n.v <br /> �L°� T�_ � i n�r,a� iJ.ovn a Cr�.- 2�P- A�` o� M /� <br /> 6[x,J '21GT�Sr § P.,.�IZOnown� r�-ror.� nn�cor 4�-CHART �"�-�ZO-29 -5 <br /> INFO COMPILED 8Y: DATE <br /> APPROVAL: DATE <br /> 9�1•79 <br />