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t <br /> � f � <br /> DEPhRTMENT OF COMMUNIT!' DEVEIO�MENT SERVICES <br /> BUILDING PERII�IT` INF�DRMATION <br /> ADl�RESS � �'S.�!�� T'�-/ �T TYPE ��'� <br /> (1) BUILDING PERM17 FEE ,a/, BOO� � $ /3/• OO <br /> (A) PLAN CHECK �EE <br /> (2) PLUMBING I � ' � b <br /> (3) MECHANICAL l� �� � — <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE Z 3�5� �D <br /> (A) TO BE DETERMINED 8Y BLDG INSPECTOR�— INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION 4'��G•� �'�c"-' A�n2o,c /D�oF <br /> �oF -�u�row �i J CHART_ �`�� — <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) 3 <br /> $ 3�Y�, O D <br /> (7) STATUS OF SEWER CHARGFS: <br /> BOND DISTRICT FOOTAGE �Q�•��n <br /> N, S, E, W <br /> NOTES <br /> .'SP�-/,cc� � "iz. CH-fle.4� f�'ZZ BEfl ColnS-8 O <br /> QQ�a � _ `�2�. c56 <br /> SEWER CQNNECTION CHARGES <br /> YEAR TRUNK 3 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE � � ' �d <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S �'�U <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK $ � <br /> LATERAL �1 <br /> SEWER SERVICE �j. BO <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: 8����<�� � � A�-�-�+'; <br /> ir� iw1 i�nY+-ni ur•,"". /Q�l isr n/ /J/G, t`r �j' Mc NJH 7�/#-IJ _ <br /> �7,.�,, ,,, br� At,t,�Et, CHART � '2o -29-S <br /> INFO COMPILED 8Y: DATE <br /> APPROVAL: DATE - <br /> n 7.79 <br />