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� <br /> DE�ARTMENT OF COMMUNITY DEVELO�MENT SERVI�ES <br /> BUILDING PERMIT INFORMATION <br /> � 11DDRESS 21D Z 7�''��'TTT— TYPE ��lS�� - <br /> , (1) BUILDING PERMIT FEE 85�6@m ' � s _"j8-� • G9 b <br /> ' (A) PLAN CHECK FEE Pr� • � —7'�te¢.Y <br /> (2) PLUMBINC 4• v � <br /> � (3) MECHAMICAL �� ' ��� _ <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _ �Tl l <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br /> • (B) EXIST. WATER SERVICE, APPLICATIUN NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> z <br /> < (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT 15- ..y � <br /> � SUANCE FEET DRIVEWAY(TYPE) S �' c7�tl I m <br /> ; �v/� S7 .. <br /> • � ti. <br /> i (7) STATUS OF SEWER CHARCES: ,,�— "� " <br /> ., -a <br /> � BOND DISTRICT FOOTAGE � `"m <br /> 0 <br /> . N, S, E, W m S <br /> , NOTES o a <br /> m <br /> -1 2 <br /> S -� <br /> . i m <br /> I " <br /> �- .o z <br /> � n -+ <br /> �� r x <br /> M 11 <br /> �N <br /> � <br /> 1 T <br /> � <br /> I � <br /> �� <br /> m .-� <br /> 0 <br /> � <br /> o r <br /> SEWER CONNECTION CHARCES ;N <br /> YEAR TRUNK 5 ?� <br /> LATERAL � m <br /> � A <br /> TOTAL CONNECTION CHARCES b I = <br /> ! a <br /> I z <br /> SE�'/ER PERMIT FEE 5 C D- Db I � <br /> � <br /> CATCH BASIN PERMIT FEE z <br /> 0 <br /> TOTAL SEWER PERIv11T FEES b l�- O C� -' <br /> � <br /> n <br /> m <br /> (7) fv10NTHLY SEWER CHARGES: � <br /> SEWER CONSTRUCTION TRUCK b � <br /> LATERAL I <br /> SEWER SERVICE I <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: i _ <br /> CHART ; <br /> . I <br /> INFO COMPILED BY: DATE <br /> � <br /> APPROVAL: DATE <br /> s�ea <br /> i <br /> ! <br />