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DEPAR�n1ENT OF COMMUNITY DEVELOPMENT ScRVICES <br />BUILDING PERMIT INFORMATIQN <br />ADDRE55 <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />TYPE G���. <br />i,�a�.�c:n•��� g ?�=��.,c� <br />�D. `�' -r-,�!y`� <br />��. GiD <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE / �,SD. o b <br />(A) TO BE DETERMINED 8Y BLDG INSPECTOR INCH�7���� �`!'' y <br />(B) EXIST. WATER SCRVICE, APPLICATION NO. ��`F ������������� <br />(C) APPROX. LOCATION <br />3" G.�.. M�.,v APPeGn ZZ r- T Lv �3'�•.<<' <br />�P d'e, oF [Zc�u«� � •�, CHART`�' -l4-2�7-s ,� �c-/-Zf:� Z�!-� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />:• � <br />NOTES <br />DISTRICT <br />�.—'w�' 'DG.v� oi�N�c�T 2-�='� <br />��"� .1 <br />O,ev 71�-8C� <br />oH-'-�c:E ��,. ,�'1 �'�b-s-4- <br />DRIVEWAY(TYPE) � <br />S <br />FOOTAGE <br />N, S, E, W <br />�nevinewa� 5i.�[.�L� ��/�OPi.,��,Z% �a-�� <br />iu�c�. ldo�✓E To !3� P.o�i� !F /-��O'L '�Tc:�eir:s <br />!�/zG Gc>.N;��cic7t�, � SEWER CONNECTION CHARGES <br />YEAR _ TRUNK <br />LATERAL <br />TOTAL CONNECTION CHAP.GES <br />SEWEP. PERMIT FEE <br />�ATCH BASIN PERMIT FEE ��'/ � <br />TOTAL SEWER PERMIT'rEES %�/� � <br />f7) MONTHLY SEWER CHARGES: �N� � � <br />SEWER CONSTRUCTION <br />S <br />S <br />3 <br />TRUCK $ <br />LATERAL `— - <br />SEWER SERVICE -����' �� <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �ll� ��'[_�- <br />�E-�f/� n/�r--� U/LL 1,�fti7,dL.� 1������ ��/ �i���i.�/ � <br />e���,: i,�n, ; /.c-I ,d! (.,�Z LCJ m�= ,�t.G�� CHART /L� <br />5 ��i-79-'�" <br />N-ZiJ -Z,¢- � <br />INFO COMPILED BY: <br />APPROVAL: <br />v.r�e <br />DATE <br />DATE <br />