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� l� <br /> 9•m <br /> �1q"j <br /> DEPARTMENT OF �OMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRE55 �i93.`�a ��.c�nut6� ,��.•�/�. .___TYPE > - �•.E' <br /> (1) BUILDING PERMIT �(E y?CL����" g �t.�7-Oc� <br /> (A) PLAN CHECK PE'_ �3.4o bu� <br /> (2) PLUNiBRJC 2-�•C9 Z� <br /> (3) MECHANICAL /� - C�O <br /> ;4) WATER SERVICC� f O BE PAID PRIOR TO BUILDING PERMIT ISSUANI:E Q-�- E�a <br /> (A) TO BE DETER��IINED BY DLDG INSPECTOR _�¢_ INCN <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. ' <br /> (C) APPROX. LGCATION .C/p r.yn7t--» ,—n f',c�c-�-,�y <br /> �/ZOM S,C�r4�.v.w f2.-,d V7,r/t� CHART �J - "L 27 — <br /> (5) DRiVEWAY PERMIT TO BE PAID PRIOR TO BUILD�NC PERMIT �S- <br /> SU.AnCE FEET DRIVEWAY(TYPE) S 2O•�7L7 <br /> � 7 �.i���lo <br /> p) ST,4TU5 OF SEWER CHARGES: <br /> BGND Z� DISTRICT FOOTAGC __ <br /> N, S, E, W <br /> NOTES <br /> .���� Z�t�Jvi�i� �"� <br /> �v 7ZZ- �n <br /> 4�'-t='A 2 <br /> .�-�-�"2��, �3y. c�� <br /> � <br /> SEWER CONNECTION CHARGES � <br /> YEAR 8� TRUNK 3 2 7�"�� � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES g 2-�G- G'� <br /> -+ r <br /> y r. <br /> SEWER PERMIT FEE (yaG� ,rg4 �O 3 3p-��� � F <br /> CATCH BASIN PERMIT FEE� � <br /> TOTAL SEWER PERMIT FEES S 3���`� c� � <br /> p) MONTHLY SEWER CHARGES: � � <br /> � <br /> SEWER CONSTRUCTION TRUCK 3 _ '� ` <br /> LATERAL � � <br /> SEWER SERVICE � � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE M.AIN: L-�a -r Tc Pfi_� ,O!'/'l%d� � %' <br /> � GCJ N/r .�./�% !�6'�r? �F ��> 1O .�/,C�JJt / � E� <br /> '7 '2��> Dc;�• <br /> CHART Q- �'Z�� � <br /> � �: <br /> INFO COMPILED BY: DATE � r <br /> • L <br /> APPROVAL: DATE K <br /> r <br /> ! <br /> 41�79 <br /> r <br />