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DEPARTMENT OF �7MMUNITY D�EVELOP�NENT S►RVICES <br />B�JILDI�VG PERMIT iNFURR,�lAT10N <br />ADDRESS SIIS �DOVL.� ST- _TYPE S�� <br />(1) BUILDING PERMIT FEE ������'�� b 3�� Z�D�u� <br />(A) PLAN CHECK FEE <br />3�.00 <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSP�CTOR _� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION h10. <br />(C) APaROX. LOCATION ��� A-�'T' �� �-'� <br />�L_�� CHAR'� � 3s--24--4 <br />3l•SO <br />C.o�. 6L7 <br />(5) DRIVEWAY P[RMIT TO BE PAID PRIOr� TO BUILDING PERMIT IS- 20 � O <br />SUANCE FEET DRIVEWAY(TYPE) 3 <br />3 <br />(7) STATUS OF SEWER CHP,RGES: <br />BOND �� DISTRICT fOOTAGE <br />N, 5, E, W <br />NOTES <br />SEWFia "1��1. � <br />orar� 484-83 <br />S •F.k= . <br />� g�p(7.o0 <br />SEWER CONNECTION CHARGES <br />YEAR 8 S TRUNK <br />LATERAL <br />TOTAL CONNECTION tHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />LATER��.L <br />$ �.��• �� <br />g �7D-OD <br />$ �- . B� <br />$ Y -�C� <br />5 <br />SEWER SERVICE <br />APPRUX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �� R—F'`T� �'�'�Tt •�� <br />INFO COMPILFD BY: <br />APPROVAL: <br />5•84 <br />CHART � —35 �Z4- 4' <br />DATE <br />f ATE <br />_ <br />0 <br />� <br />� <br />m <br />... ., <br />�� <br />.. .� <br />�., _ <br />m <br />v <br />co <br />mo <br />c� <br />03 <br />m <br />-� z <br />m� <br />.. <br />.o z <br />�_ <br />.. .. <br />-� � <br />� <br />„ <br />o� <br />� 3 <br />-� m <br />_ <br />m N <br />0 <br />or <br />c� m <br />C N <br />3 v� <br />z c� <br />�m <br />a <br />� <br />-a <br />_ <br />n <br />z <br />-� <br />x <br />N <br />z <br />0 <br />� <br />� <br />m <br />