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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICF.S <br />BUILDING PERMIT aNFORMiATf()�1 <br />ADDRESS 72� �l�B 'SJrTN �lT. S L(J TYPE �B�`+�%�'7• <br />(1) BUILDING PERMIT FEE 720fJ0. Ou $ /13�, dZ� <br />(A) PLAN CHECK FEE 23• 50 ixt� <br />(2) PLUMBING �� Q � _ <br />(3) MECHANICAL _ 2Li-00 <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMlT iSSU.4NCE �D- BC� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR _ INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO.�— <br />(C) APPROX. LOCATION .�� ��T LI�TT'c.lrf� K.�w.f <br />C .�I•►:1:�7 <br />(5) DRIVEWAY PEKMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br />SUANCE� FEET �—��-lC DRIVEWAY(TYPE) S f� ��, <br />$ 3 so. 50 <br />(7) :iTATUS OF SEWER CHARGES: p <br />87N� -?r DISTRICT � / FOOTAGE � � <br />NOTES <br />N, � E, W <br />SEWER CCNh:,{E�CTIG�d CHARGES <br />YEAR __5��: TRUNK $ �22• �� <br />LATERAL �^ <br />TOTAL CONMECTIC+N CHARGES 8 �Z2'�D <br />5 �� <br />SEWER PERMIT FEE e'� 3 g ? - BD <br />CATCH BASIN PERMIT FEE <br />TOTAI_ SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />�S/�S-� BU <br />$ /. / �' <br />_____- <br />M�z�-p.m <br />CHART <br />DATE <br />DATE <br />— /— <br />