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� <br /> .�� �� � <br /> DE/ARTMENT OF COMMUNITY DEVEIO�MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> r ADDRESS �L'3� �.��/.i►y JypE �it.tn , I <br /> (1) BUILnING PERMIT FEE � ¢2,000. �v S _ 2�#-?• O a <br /> (A) PLAN CHECK fEE �p �'�-` y?� 4� � <br /> (2) PLUMBINC /Z• Oa ; <br /> (3) MECHAIJICAL __ 3• � -� <br /> (4) WATER SERVICF TO BE �AID PRIOR TO BUILDING PERM i ISSUANCC ��� <br /> (�) TO BE DETERMINED BY BLDG INSPEC (OR � INCH <br /> (B) EXIST. WATtR SEiiVICE, APPLICATION NO. __ <br /> (C) APPROX. LOCATION4 �� �'�a��t-I f�,oFBO�c c� �pi.- <br /> L�u(!T�—�2�� CHART U- 5'28 -'S <br /> (5) DRIVEWAY PERMIT TO BE PAIJ PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S �. � <br /> S • <br /> (?) STATUS OF SEWER CHARGES: LeU <br /> 80ND 7S DISTRICT FOOTAGE � <br /> N, S, Q W <br /> NOTES <br /> �(JE'� 7�eJ. F� <br /> o�0 984-83 <br /> 13c. g� �c . s44 <br /> � 1a-�.q a <br /> SEWEI: �ONNECTION CHARGES <br /> YEAR 8 ¢ TRUNK S `�S$`� 'St�o et <br /> LATERAL �'�' �O�� <br /> TOTAL CONNECTfON CHARGES S -1-�'�4'�' g�•°� <br /> SEWER PERMIT FEE b '3� • �� <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5 3�'BO <br /> (7) MONTHLY SEWER CHAftGES: <br /> SEWER CONSTRUCTION TRUCK 3 <br /> LATERAL _ <br /> SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �� ��M•Oi.c/ .BPi"3L�lJX- �S/"7� � <br /> �v 9� ¢. oF ,�,2o,op�,oY ' Le-r .c1P.�a�x �2a �r b �< <br /> N1.�l� Euc1✓n �f ,�'�mwA� _ CHART U- S -2$ 'S <br /> INFOCOMPILED BY: DATE <br /> t APPROVAL: DATE <br /> s a: <br />