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� <br />,... <br />;:.� <br />DEMRIMENT OF CdMMUNITY DEVEIO�MEN1 SERVICES <br />BUILa1NG PERMIT INFORMATION <br />ADDRESS �Z�Z�Z'Z S �L'�'�'� �tT �J• � TYPE �/.�%4us' �n.r�LY /LC7 • <br />(1) BUILDING PERMIT FEE LoS,O�-o`� 5 ���-�� <br />(A) PLANCHECK FEE T�O.� �Q�a <br />(2) PLUMBINC �¢' �� <br />(3) MECHANICAL ��•�� <br />(4J WA7ER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE dAD-ElD <br />(A) TO BE DETERMINED BY BLDC INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART X' 3Z-Zq-S� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) 8 ��•Dj% <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND -� DISTRICT <br />NOTES <br />�� a�--v. �� <br />cs.¢� �'P4-� <br />��.ut�� �.c��ay 2�-s <br />,�' Sao. � <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR 8 S TRlJNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX. LOCATION OF SlDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />s•sa <br />5 �7D.Ba <br />¢SD • c9 a <br />E 72�. Ei'J <br />E 3o.ov <br />E ? • E�d <br />S <br />CNART �''✓Z"Z9-�� <br />DATE <br />DATE <br />