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_ , <br /> r <br /> � <br /> DE►ARTMENT OF COMMUNITY DEVELOPMENT SERVICES , � <br /> BUILDING PEI�MIT INFORMATION <br /> r <br /> ADDRE55 �d-3� �, XAJrE� �CJA>% TYPE _.����• <br /> (1) BUILDING PERMIT FEE e¢2� Ei90. � S �Z�7• D O <br /> (A) PLAN CHECK FEE �'.f35 ( tx.��1 <br /> P (2) PLUMBINC �4�, 00 `'i <br /> (3) MECHANICAL � 5� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE ¢��'0� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 3�- INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. ' ' <br /> (C) APPROX. LOCATION 4`� G•� Nti� tN �PpR.Ox Z3 F'� <br /> l,e� O� � c�G ��i� CHART S—'Z5 � <br /> (5) DRIVEWAY PERMI7 TO LiE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S �� <br /> g C:�%3�Ft✓r <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �� DISTRIC'T FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> se.�,c�-p��o�i�vr �� <br /> e2o 7zz- eo <br /> �� z <br /> 5•T=-R-eS. 3�,4. �'-� <br /> SEWER CONNECTION CHARGES <br /> YEAR �'3 TRUNK S "Z��•OD � <br /> LATERAL ¢��' �v <br /> TOTAL CONNECTION CHARGES S �� Z-�' � <br /> SEWER PERMIT FEE S S '�U' �p <br /> CATCH BASIN PERMIT FEE ��j � <br /> TOTAL SEWER PERMIT FEES 2' �Iplq� �'� <br /> (7) MONTHLY SEWER CHARGES: ' <br /> � SEWER CONSTRUCTION TRUCi< S <br /> LATERAL <br /> L SEWER SERVICE J <br /> APPROX. LOGTION OF SIUE SEWER OR TEE IN THE MAIN: ��' �-�n«� or �- xa✓�c�2. <br /> LunK u� r �4�r �,� �-1n�u Av�>•��u I�-l`i t=r 1-� or M.N. IZ,Z � <br /> (,pnar�x 8� O�t�c� '��.u� ��«.� i'L�=21w v t; _ CHART�—I Pi -Z� -5 <br /> L 'Pv,owr� -(�-o�.... kv...�c ro tz/�� t��NG - Guz1.��ry r—�o>.�. �lw u�,E ta <br /> �-.,���..� <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATF <br /> ai��v <br /> L <br /> J <br />