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a <br />Dt..ARTMENT OF COMMUNITY DEVELO�M►,.i SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS � 23 �!(�j 55TN �'� �� � TYPE ��'� � <br />(1) BlJILDING PERMIT FEE � �� �����' � $ ���' � <br />(A) PLAN CHECK FEE p�''� d�� <br />(2) PLUMBINC "��� � <br />(3) MECHANICAL 3�' aa <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �D' � <br />(A) TO BE DETERMINED BY BLDG INSPECTOR <br />INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION .5��- P��'��G� �--�'-� <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE 2-�% FEET Cm�G DRIVEWAY(TYPE) $ ��' � <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />_�_FOOTAGE _ <br />� <br />G � <br />S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR 8 � TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE �� 3/y� � <br />CATCH BASIN PERMIT FEE �S� <br />TOTAL SEWER PERMIT FEES <br />(7) MONTIiLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE <br />I NFO COMPI LE D BY: <br />APPROVAL: <br />TRUCK <br />LATERAL <br />r.o <br />$ 3¢O, oa <br />$ 3 n . �rz� <br />S -� • 6"C� <br />�---- <br />ME 7��� <br />CHAnT C- - �-28� <br />DATE <br />DATE <br />