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DE�ARTMENT OF COMMUNITY DEVEIO�MENT SERVI�ES <br />BUILDING PERMIT INFORMATION <br />ADDRESS <br />BIO�.� �i�Gi1.�E--1" L.� TYPE S. F� /�. <br />s S� <br />(1) BUILDING PERMIT FEE ¢���• °r� P� �Cv553ir� <br />(A) PLAN CHECK. FEE �� op <br />(2) PLUMBING �2 S,� <br />(3) MECHANICAL �0 p� <br />(41 WATER SERVICE TO BE PAID PRIOR TO BUIIDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR <br />INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION .�7� ���«-' Ta �` �F'�'7c1- <br />�FT• C,.,- ll ll ) G�G �� CHART ��i��'28-�' <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMI,T�I,�;,� <br />SUANCE FEET DRIVEWAY(��Y�E) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND -�� DISTRICT FOOTACE <br />NOTES <br />.� G1 i`= I � 7� <br />' � <br />� / �/ <br />h6"� <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR 83 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARr:S: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATER/1L <br />2D.BcJ <br />5 Z70-O� <br />s Z2O'o� <br />S ? 'Q� <br />S �'� <br />S <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDC SEWER OR TEE IN THE MAIN: h7��a� Td pI� '��'o�� <br />,� r-� � Di-' �-!'G�J ��r. ,o� L•� �� .�v�t vr, 9 G7 D��- <br />CHART �l�-i��Z¢3-S' <br />INFO COMPILED BY: <br />APPROVAL: <br />41�79 <br />DATE <br />DATE <br />