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DFPARTMENT OF COMMUNITY DEt'El4VMENT SERVICES <br /> � UILDiNG PE�MlT l �fa� �;MATiON <br /> ADDRESS /O�oO`F IOTi-i '��k? S• C� 1�YPE 5 r' 2 <br /> (�) BUILDING PERMIT fEE � s,�� �'`� g �3l. �c� <br /> (A) PLAN CHECK FEE �•� S ��A� <br /> f2) PLIJiviis�NC �'�=-�'� a - <br /> � (3) MECHANICAL G�Z'`� <br /> ;4j WATF.R SEI�.VICE TO BE PAID PRIOR TO BUILDInG PERMIT ISSUANCE �'�' �v <br /> (A) T7 El� DE1"ERMINED BY f3LDC IN�PECTOR INCH <br /> ; (8) EXiST. WATEk SERVICE, APPI.ICATION NO. <br /> (C) APP�.OX. LOCATION �7u/3p�,� 'r� �'��- r 'i'���x -'' � <br /> jJ �(./• C <br /> � 0� 4� Gu,� o''" LoTCHART L - /4-z8-1 <br /> (5) DRIVEWAY PERNiIT TO 8[ PAID FRIOR TO BUILDING PERMIT IS- <br /> SUANCE _FEET _ DRIVEWAY (TYPE) S 2O' �� <br /> � <br /> � p) STATUS OF SEV�'ER CHARGES: <br /> ; <br /> BOND �DIS'fRICT _ FOOTAGE <br /> N, S, E, W <br /> � NOTES <br /> ' � U� S�7/_Rca�/��'rT �� <br /> ��_ <br /> � o,eb 7� -�a <br /> It?rZ.�z� 2 <br /> I5 ,�. ,e. 339� -°�� <br /> � , <br /> i <br /> � <br /> ' SEWER CONNECiION CHARGES r <br /> YEAR �¢ TRUNK $ �=30' �v �� <br /> LATERAL — <br /> � TOTAL CONNECTION CHARGES S J3�• �U <br /> � � � <br /> N �: <br /> . H �. <br /> 3o. �d U : <br /> SEWER PERMIT FEE % � <br /> CATCH BASIN PERMIT FEE � � � � <br /> TOTAL SEWER PERMIT FEES $ �� � �� J � <br /> (7) MONTHLY SEWER CHARGES: ,,� ` <br /> SEWER CONSTRUCTION TRUCK $ :� � <br /> LATERAL � ' <br /> SEWER SERVICE - <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��7uA��o f'�� /��'P�� y ': <br /> «o,cT � oF � �/ 8 � a,oPeoK 7F-1 7��-�r�� = <br /> L -/q- z8 -� � <br /> CHART � �, <br /> I�VFOCOMPILED BY: DATE � <br /> APPROVA!: DATE _ <br /> 91 79 <br />