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I, _ . �'� z� �c 5 7 <br /> s.P. ��v ; ; . �; <br /> DEPARTMENT OF COMMUNITY DEVEIO�MENT SERVICES <br /> BUILDING PERINIT INFORMATION <br /> lI D � 0 ��I� l�-' V f_ TYPE _`'ON,'M. <br /> ADDRESS ,.���y ,�,p <br /> (1) BUILDING PERMIT FEE �G�'�i ��'�� 5 �n� �P.�� <br /> (A) PLAN CHECK FEE ��, �� <br /> (2) PLUMBING �� �� <br /> (3) MECHANICAL ._____ <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSU NCH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION .��ST�^'�t–�A���`=�' Tn t"� C. <br /> �� ��u� <br /> G�(as,- 2s�T E_. �� CHART Z. � S f�t - Z�,-� <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- 2 � ac," <br /> TYPE 3 <br />' SUANCE 2 ' �� FEET G6�NL DRIVEWAY ( ) <br /> S c���' Ln <br /> (7) STATUS OF SEWER CHARGES: <br /> gpNp -Z� DISTftICT FOOTAGE ._ <br /> N, S, E, W <br /> NOTES <br /> .- _ �-- � <br /> �y..«(�T� Di.�"IJE3.,OPM� i f��- <br /> O,P� 7/5– S o ' <br /> At�l.� �L�,-`�aun+ G�vo �MT��t.c=��-Tc�.:) <br /> 5 <br /> o. <br />� �Y C,�S•'�. � <br /> I�-�{`�yL .� :277•=w421t:3c� <br /> I q4.,z�x . tl'7` a�«�-� �'' SEWERCONNECTIONCHARGES � <br /> l�os•�',8 YEAR �� TRUNK S �'`�-�t�"`'� � <br /> - d2�c� 3� LATERAL <br />! Y �'�� TOTHL CONNECTION CHARGES $ <br /> / H H <br /> S �iC�. O�; y ' <br /> SEWER PERMIT FEE �— �e�� T � T <br /> CATCH BASIN PERMIT FEE � F <br /> _ 5 �O• c�c-� � <br /> T(�TAL SEWER PERMIT FEES <br />, � � <br /> (7) MONTHLY SEWER CHARGES: � <br /> SEWER CONSTRUCTION TRUCK � � ,- <br />, LATERAL � � <br /> � � <br /> SEWER SERVICE � U' <br /> (,�Tr�.rzluu ,-, ic•-r�ti.tu <br /> APPROX. LOCATION OF SIDE SEW[R OR TEE IN THE MAIN: o � <br /> � �--. l 1...)TJ r�i�ru �i..l li27f� 5 r � c ,r)>°v,eo,� � � <br /> 'Sl�. =�--aV� W(dtct.l .S � � <br /> s r� CHART �-Y�S �� ��' �� <br /> i4� r--r w o�- r�r.� �`t � Aa�F�n� — � <br /> '�E.� A-t P(c...� � r <br /> DATE � <br /> INFO CGh1PILED BY: � �; <br /> DATE �; <br /> APPftOVAL: K: <br /> �; <br /> r,: <br /> c; <br /> �'. <br /> 41J9i' <br />� _ _. <br />