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.. . . <br />DEMRTMENT OF GOMMUNITY DEVELO�MENT SERVtCES <br />BUIL�ING PERMIT INFORMATION <br />ADDRESS `���7 /d/L[.70P �/�• TYPE ���uc� F� .a 5. <br />(1) BUILDING PERMIT FEE 72,l�DO•� S_�.52. OC� <br />(�) PLAN CHECK FEE /OO-Q2 <br />(2) PLUMBINC /Z2. Dd <br />(3) MECHANICAL /�,DO <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE ¢�` OO <br />(A) TO BE DETERMINED BY BLDC INSPECTOR � INCH <br />(B) EXIST. �NATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />:• � <br />NOTES <br />D15TRICT <br />�tZUf� ��7/. F�� <br />O�• // 7/ -f3 5' <br />S�,c/l�C.� F'�1>vra.� �E.'�- <br />H2 � _ � �� . � o <br />5�zc� - � 47i . o 0 <br />� �o 0 00 <br />DRIVEWAY(TYPE) S 2���1% <br />s Ydy.a� <br />FOOT AG E /��92-r.d�ir_+ <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOT/1L CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />E <br />b <br />s 3m•oo <br />�- <br />; _�� OC� <br />TRUCK S <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />s•ea <br />CHART <br />DATE <br />DATE <br />