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r <br />r <br />L <br />L <br />L <br />If� <br />8� <br />DEPARTMENT OF COMMUNITY DEVEIOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRE55 '���'i� %%ifiJ-�,u.i /I,%"�eCf1' TYPE S F�. <br />(1) BUILDING PERMIT FEE `7 (GG;E�:�C�•pU S 3��� O <br />(A) PLAN CHECK FEE � #� �7-r�� <br />(2) PLUMBINC 2� �v <br />(3) MECHANICAL ��pU <br />(4' WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM T ISSUANCE � E). OD <br />(A) TO BE DETEPMINED BY E3LDG INSP[CTOR �� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOC/1TION i�, tn-r � �,-r,� a--, -r pI <br />!-4.t,. �oa �-� T. <br />D�P��(-r S'DF CHART Y- 3�- 2,q_i' <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br />SUANCE 2 S FEET ���-/C • DRIVEWAY(TYPE) f �z� �v <br />s 557, �b <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE L�:rE�e r�.�iD <br />N, S, E, W <br />NOTES <br />SEWER CONNEC'ION CHARGES �1 <br />YEAR TRUNK S , �L__ <br />LATERAL <br />TOTAL CONNECTION CHARCES S <br />SEWER PERMIT FEE ��%,2� 7s 30- DO <br />CATCH BASIN PERMIT FEE �/R�/�� <br />1'OTAL SEWER PERMIT FEES S 30• Ov <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK ' s <br />LATERAL <br />APPROX. LOCATION OF SIDE $EWER OR TEE IN THE MAIN: LA-� w�' Tn ��i ryp�yx <br />�`� r-r i.l 01� M.�_1 = �p ,�-- � 7 <br />CHART Y- '30 - 2 Y-5 <br />INFO COMPILED BY: <br />APPROVAL: <br />41.79 <br />DATE <br />DATE <br />1 <br />J <br />J <br />