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���� <br />Z 5'� <br />-� r. <br />,fPARTMENT OF COMh1UMITY DEVELOI-MENT SERVICES <br />BUILDING PERI�r11T INFORMAI'dON <br />ADbRESS 'Zs_ � �o ��F3 %ZOc/_E�� � .a /,�1E TYPE GOM ,'pctPt.�yc. <br />(1) BUILDING PFRMIT FFE /7�, 7qO• � � 3fq. (yq <br />(A) PLAN CHECK FEE Ca/. 35 'Du� <br />(2) PLUMBING ¢D • !, v <br />(3) MECHANICAL 3t,. �ya <br />(4) WATER SERVICE TO RE PAID PRIOR TO BUI .DING PERMIT ISSUANCE 3-I S• � <br />(A) "i0 BE DETERMINED BY BLDC INSPECTOR I INCH <br />(Bj EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION a�� �• S• M� �N /i-PP/�a-x- '-�S F7- <br />�l1 pF �' �(c.r3t'��-nti P.�,I A RT �� S 1 _ <br />(5) DRIVEWAY PERMIT TO DE PAID PRIOR TO BUILDINC PERMIT IS- �. 6 D <br />SUANCE _ FEET e�-►�-w�r DRIVEWAY(TYPE) S 7�- <br />S <br />(7) STATUS OF SEWE2 CHARCES: <br />BOND DISTRICT <br />NOTES <br />FOOTAGE �-%�7'►��A+io <br />N, S, E, W <br />SEWER CONNECTION CHnRCES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARCES <br />SEWER PERMIT FEE <br />CATCH BASIN PcRMIT fEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />S <br />S <br />$ <br />,• c � <br />SEWER SERVICE N1�T��-� <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN TH[ MAIN: L�� /`'�Ac.tJ �' p� Locae� <br />?r� 's i.v M o c ti) a-o���r.o� � co 5 a � e a'�'Z.to` �v � <br />MEF. 2lorr� $7� �2ocGb-��� CHART 2-/4-z4-S <br />INFO COMPILEQ BY: <br />APPROVAL: __ <br />DATE <br />DATE <br />