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rr <br />nI <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS ���I�%¢ �C-S-Y- TYPE <br />(1) BUILDING PERMIT FEE 'LC7•5eul- `%i <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICC TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETEPMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. _ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOC kTION &., Anne-ePA SyT E <br />$ l�13._dD <br />Po• # co z8Z 9 <br />4k or- Goy ;, k'JC(� CHART S- /BPS <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY (TYPE) $ <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND 41r DISTRICT <br />NOTES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />1 LJ7ti <br />SEWER PERMIT FEE d <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN <br />b/.,i' LA-> 7o PC ,or.-,¢mx_ 242 /f <br />INFO COMPILED BY: <br />APPROVAL: <br />2©• Ou <br />O3 <br />CHARTA- 7-Z8'S <br />DATE <br />DATE <br />w <br />n1 <br />9 1-79 <br />