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' .� <br />DEIARTMENT OF COMMUNITY DEVELO�MENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS �Ca/� JOU'V!, /d�J� TYPE St''-tc��,E �^^��`C �Zts <br />(1) BUILDING PERMIT FEE i�� oo0-°O b S3l .S o <br />(A) PLAN CHECK FEE �,� �� <br />(2) PLUMBING �� ��� <br />(3) MECHANICAL • �8'� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT 155UANCE '�� <br />(A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICAIION NO. <br />(C) APPROX. LOCATION <br />CHART L-� "" 3/' 2�— � <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />5��,�-� ��� <br />Q'ZO //7/ f' S � <br />�iZ� �%24�oG <br />DRIVEWAY(TYPE) 5 <br />E <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR 8� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPI LE D BY: <br />APPROVAL: <br />s�oa <br />2�-DU <br />b ERh7�! P�Z <br />S�. ¢ m.ea <br />E //7/-�4- <br />y 30-DO <br />b 30-6d _ <br />i <br />CHAR��3/^Z�'� <br />DATE <br />DATE <br />