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DEPARTMENT OF COMMUNITY DEVELO�MENT SERVICES <br />gU1LpING PERMIT INFORMATION <br />/-- TYPE � �'� <br />ADDRESS �� ��Z ��L� 3 Z� • �� <br />(1) BUILDING PERMIT FEE �3i�d�' �� 5 �l 30 Dc1� <br />(A) PLAN CHECK FEE / �3 • �v <br />(2) PLUMBING � � ' �� <br />(3) MECHANICAL 2'-�'`-'-' " � <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PE a IT ISSUANCN <br />(A) TO BE DETERMINED BY BLDG INSPECTOR � <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />Q `' �.. � � n�c.� 6' �� - <br />(C) APPROX. LOCATION _ <br />w �<<�� UJa�z�ur CHART <br />Q- Zo - 24-5 <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BU��DRIVEWAY(TYPE) 3 <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER C:-lARGES: FOOTAGE _� <br />BOND ���STRICT _—� <br />N, 5, E, W <br />NOTES <br />��vC� ��.�r�� F��S <br />O.�/, lsGG-6 v <br />� r <br />�.�-� 2z�. � <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />S <br />b <br />i <br />G� 30-0� = <br />SEWER PERMIT FEE �,�✓1 5 � _ <br />CATCH BASIN PERMIT FEE �II ���� $��.�, pv <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEVYER CHARGES: TRUCK $ � <br />SEWER CONSTRUCTION LATERAL <br />i jj <br />SEWER SERVICE <br />APPROX. LOCI.TION OF SIDE SEWER OR T� IN� ����� <br />INFO COMPILED BY: <br />APPROVAL: <br />5• <br />�t b ,Q�'c..t� <br />l2_ "� �_ <br />��— ._ <br />CHART �'2� -Z`t-� <br />DATE <br />DATE <br />