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S��ZC-l91xc30G� <br /> 2-S DEPA.:TMENT OF COMMUNITY DE� JrMENT SERVICES <br /> � t� Id.DING PERMI�' IIVF(�ttli�lAl�fO �d <br /> _ ; <br /> ADDRESS 5�-22 Gc=l�s[.u_sGo d-c»�TYPE Co"�"� . <br /> (1) BUILDING PERMIT FEE �37Z'2c7• `�� 5� 2� 3� ��, � <br /> (A) PLnN CHFCK FEE S'�^'���� <br /> (2) PLUMBING � . Do <br /> (3) MECHANICAL ��' �� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERIv11T ISSUANCE �L 3�/Ub <br /> (A) TO BE DETERMINED BY f3LDG INSPECTOR� INCH ���1��•� `�`'�'�"i' <br /> `Z�*. (B) EXIST. W.4TER SERVICE. APPLICATION NO. C�SCe� a.�..`~ <br /> (C) nPPROX. LOCATION 1z-�� �•� �'�+A�"� �Pf'28�-- ��w _� �1�� <br /> �-IF'r E aR� G� �•���^�b1ART �— � q <br /> (5) DRIVEWAY P[RA�IT TO E3E PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE 2S FEEI �yF'l�+OL�DRN[WAY(TYPE) � �2'�- <br /> y _ �la(o_So <br /> (7) STATIi� OF SEWER CHARCES: <br /> BOND �Z DISTR�CT _�—___ FOOTAGF <br /> N, �, f, Vd <br /> t�OTLS <br /> ����V'[R �ONN[Cl ION CI IAKG[5 � � <br /> 2�s- �� <br /> 1'FAR �� TRUNK S }-- <br /> I ;�TEi'AL 330• C9 6 <br /> -i OTAL CONNECTION CHARCES ,� $ _ G'� S . v � <br /> v° <br /> r <br /> SI:�NER PEftMIT FEE ��1'���:= � --30- Dd — <br /> C;�TCH BASIN PERMIT FEE '�(�3� <br /> TOTAL SEWER PERMIT FEES R _ <br /> (7) ��10NT1iLY SEWER CHARGES: <br /> 51:WER CONSTRUCTION TRUCk $ 2 • '� 5 — <br /> LAT[iL�L 2 � 7S <br /> SL�NER SERVICE --�' g� - <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN 1 HE MAIN: 8����a.��..�. _IsP_P��±� <br /> G L�lw 00 P�V_E_. � Ll.� � _ G 4Jt-7C.Ic W � Cl.-t <br /> _l�T�ti1 e�-�,_oK- - - - � <br /> �l,st3�-�c._.se.�mtt�__ts�-.tac-...n�,v� s�.u�,�c �ax�r�.-rio�:i:T -b-- 1- z 8-4 --- <br /> _ INFOCOMPILED [31 : _ __-.-- � ' " ' <br /> ',f'FI:O�!AL ;) '�, i �. . . -------- <br /> I <br />