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DEP.4RTMENT OF COMMUNITY DEVELOIMENT SERVICES <br />gUILIDING PERMIT I��FORI��IAT�ION <br />ADDR[SS � ���'��n �'`�'�� TYPE � �2 <br />l52:50 <br />(1) BUILDING PERMIT FEE ��2, `��-�c_� s �� � ��Zy_ <br />(A) PLAN CHECK FEE l�.�� <br />(2) NLUMBING /���� <br />(3) MECHANICAL <br />(4; WATER SERVICE TO DE PAID PRIOR. TO BUILDING PERMIT ISSUANCE _��' � <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �—�NCH <br />(D) EXIST. \VATER SERVICE, APPLICATION NO. <br />" .�7�c��tJ v�Ur- or1 �v =�� <br />(C) APPROX. LOCATION �---�' <br />�' ]F Mor�.ne GU,�,� CHART %'- �' - �9-'•� <br />(5) DRIVEWAY PEKMIT TO 4E Pc ID PRIOR TO BUILDR VEW�Y( YPE) 5 2� �v <br />SUANCE _ FE�T <br />� <br />(7) STATUS Of SEWER CHARGES: ���l�.�r <br />BOND DISTRICT FOOTAGE <br />iv, S, E, W <br />NOTES <br />�UL� �7�L�i.�C-3-F�.ci'c�J ir�� <br />L�,�'t� C.� L� r1- 8-� <br />�'� - �. <br />�`j' �' �=� . �:� ,��1/, � a <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER P[RMIT FEE <br />CATCH DASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />g ,,���. G�% i� <br />.�� <br />� ����'� _ <br />3 <br />LATERAL <br />SEWER SERVICE (� g � �_ <br />C �° /�.+�J.rl! , i n �nai. <br />APPROX. LOC�TION OF SIDE SEWER OR TEE IN THE MAIN: <br />�� N eF Mt�z�'�',o LUn 1�,C-�J- <br />�F �, MGI.�cicn �-i!,!J OG ,a�v � <br />CHART T�F'' `� <br />INFO COMPILED BY: DATE _----- <br />DATE <br />APPROVAL. — <br />9 1-79 <br />� <br />� <br />