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, <br /> DEM�Ttf1ENT OF �OMMUNIri DEVELO�MENT�ERVICES � <br /> BUILDING PERMIT iN�ORMATION <br /> _. <br /> ADDRESS ���o �I�,'�.o[�E-�� Wey 5 W� TYPE ��L <br /> ('i) BUILDING PERMIT FEE 39/coo' �D S 233-b'a <br /> (A) PLAN CHECK FfE <br /> f2) PLUMBING 2�'� � <br /> (3) MECHANICAL /S.00 _ <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �0"�� <br /> (A) TO 8E DI:TERMINED BY BLDG INSPECTOR� INCH <br /> (B) EXIST. ___ WATER SER'JICE, APPLICATION NO. <br /> (C) APPROX. LOCATIOiJ �' f��T �-1T�L/�� <br /> � c1,��.4 CHAR.T <br /> (5) DRIVEWAY PERMII TO BE PAID PRIOR TO BUILUING PERMIT IS- <br /> SUANCE 2� _.-FEET �n��^?��=DRIVEWAY(TYPE) 3 l2' �� <br /> b ,� '�"C7 <br /> (?) STATUS OF SEWER CHARGES: <br /> BOND �DISTRICT FOOTAGE <br /> N, S, , E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR 8�- TRUNK i 2 �� -� " <br /> -- <br /> LATERAL <br /> TOTAL CONNECTION CHARGES � S 2 �� "�� <br /> �� <br /> SEV�'�R PERMIT FEE �41g1�6r S --�'�� <br /> CATCH BASIN PERMIT FEE �� <br /> TOTAL SEWER PERMIT FEES 5 3�`�v <br /> (7) MON7HLY SEVYER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE �' s <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: LAT 'ro P�i. �s'n�-x_ _ --- <br /> .��'�F7 s o � � (•l� co� af LnT s4 b�.��Cmk � FT �r� <br /> CHART G -/2-Z8 -� <br /> IN�O COMPILED BY: __ _— DATE <br /> APPROVAL: . DATE <br /> si �v <br />