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!.'Oi� C I'I"i U:�P: Oi;LI <br /> BIdGINETRSNG AND COiIDiUNITY SSI;VSC135 <br /> BJILDING PliRhil`P INI�OP.FtATION <br />' ADDI2CSS u t/� `='�-'� , �'U� � � � 'PYPI: G�NJ�• <br /> ..-. OU ��✓. 00 <br /> i) I3UZLDING PER:fIT T'EE ��y��' $— — <br /> $_ /-.: 7- 9Sr <br /> (A) PLnt] �IIECK I'fi� <br /> 2) PLUMIIING $ � 7• � U <br /> $ l.��/ . OC) <br /> 3) MECI37�idICAL <br /> 4) [911TI:R SF.RVIC� TO BP PAID B�PORE IIUILDING 27c� � � U <br /> PliRn1IT IS ISSUfiD $ <br /> (A) TO IIE D�T�RI�lIA1ED H`! PI,IIG. INSP. I I'���; <br /> (Al EXIST. YIATER SP•.RVICE, APPL. N0. <br /> .� �_L • /� /—i, <br /> (c) Ai�PRO\. LOCATION CP /JP�P�� <br /> � �r• W L•��.1� (r � ti� CIIeIRT 5— 2�� <br /> 5) DRIVEI•]AY PtiIL"lIT TO IIE PAID BBC'0?2E BUII�DING SL� <br /> PER�IIT IS ISSUED �j FT. Ada(i D/S9 (TYPli) $ /� � — <br /> 6) STI�TUS 0" SS[1ER CII7IRGES: TOTAL $_, _ <br /> IIOVD � DIST2ICT -�.-`� POOTIIGP (�-� .- <br /> N, S, 1'1. <br /> � — � SES�ER �.JNNLCTION CIIARGIiS <br /> NOTL�'S yP11R � � T^f1VIC $ 4' L^ ' ��J <br /> . � 9��--_ s�/�- D/ <br /> " � r.aTc��L S S/I , �S <br /> TOTAL CUNDIPCTION CHARGP$ � -�-'�'' � 7 f <br /> E� <br /> ��(� ��a�/�� �l�c� � --- <br /> sr•.�,s i�rRwiT r�E s .�O• �U _ <br /> CnTCH BnSIN PL;RPIIT 1'EE $��_ <br /> TOT�1L SEG.'P•.R PERI�IIT :EES$ �'-r'"�'��) <br /> 7) ."IO�TIfI,Y SE[9PR CI�AP.GES: �7 <br /> SLi[4EI2 COI.5'�'ItUC'PSOtd: 'PRUNIC $ `r �� � <br /> ti�ITLRAL $ � ' � <br /> sr=•rriz seRvrcr s ��`'''�'�'� <br /> � ;� n L,�T ,L�AV,QO� Lv�'F'7'— <br /> APYi.GX. LOCATZON Or SIDE �I' +IL•'2 qR TES IN TIiT: SAIy: <br /> L�— �.�1��/. ,��. � ,r1fi'�_;=.�: _� �-D�-�' v r I'�'�7�r�- <br /> ���� _ CtInRT �T— IJ' � �- � <br /> I;JL'0 CC::^ILP•,D I3Y: _ _ DA'Pr <br /> o�vr�, <br /> ��rP�zov�r,: -- ------- — <br />