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DEMRTMENT OF COMMUI�•�SY DiVELO�MENT SERVICES <br />BUILDING PER1Vi1T INFORMATION <br />ns �� •Z GiJ,O�..�-uT ��—TYPE _ ! � � <br />ADDRESS 2 S � 2•� • �� <br />(1) BUILDING PERMIT FEE �3i�d�' �U c�a ��� <br />(A) PLAN CHECK FEE �B, �� <br />(2) PLUh1BING 2 2, SU <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER�MIT IS.`�U INCH � <br />(A) TO BE DETERMINED BY BLDG INSPECTOR �--- <br />(B) EXIST. WATER SERVICE, APPLICATION NO. - <br />(C) APPROX. LOCATION <br />Q`� M� r aJ 6P/�/J-C 6� L- r� F <br />�'Q�� lU4ur�ur CHART Q` Z'� - 24 -5 <br />(5) DRIVE�VAY PERMIT TO 3E PAID PRIOR TO BUILDRIVEWAY(TYPE) S <br />SUANCE �— FEET _� <br />b <br />(7) STATUS OF SEWER CHARGES: FOOTAGE <br />BOND �—DISTRICT <br />N, 5, E, W <br />NOTES <br />•�-2vG� ��'"��7 %�s <br />O,� Ctl..G-8 v <br />/�,�7.] / <br />h, f- �r' 2'L I. L"�C� <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />S <br />S <br />SEWER PERMIT FEE ��J'�GN s � �v <br />CATCH BASIN PERh11T FEE ��,, /O' S �� <br />0 <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: TRUCK s � <br />SEWER CONSTRUCTION � <br />LATERAL <br />SEWER SERVICE <br />APPROX. LUCATION OF SIDE SEWER OR TE j IN�THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: _.- <br />41-79 <br />5� �d <br />lZ`�r-slAraJ �'�_�—'�'�� <br />�_ <br />CHART �`Z��ZR-� <br />DATE <br />DATE <br />