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� 1 <br /> D'f►ARTMENT OF COMMUNIiY UEVELO►MENT SERVICES <br /> �U1 �.l31NG PERMIT INFORMATION <br /> ADDRFSS _/O��C3 I D�rE+ �I�2_ S � , TYPE J c N�*�� 7��iri�Y IC�S <br /> (1) BUILDING FF.RMIT FEE � L-o3�3-7q , e= g 3�Z,�� �� <br /> (A) PLAN CHECK FFE 3Ca1'� 7 C�uE <br /> (2) PLl,M81NC 2� •O U <br /> (3) Iv1ECHAN'CAL 1 ��• �'C� <br /> (4) WATER SERVICE TO FiE PAID PRIOR TO BUILD!NG PERMIT SSUANCE �� � � <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR ��— INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCP.TION �c�3�o� i o /'/�- ,c�yO,eE�x <br /> 3 FT /�I � �.� �� �CHART L - /�/- �.8- S" <br /> (5) DRlVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S ���' � � <br /> $ ��1� . O� <br /> (7) STATUS OF SEWER CIIARGES: <br /> BOND �-�— DISTRICT FOOTAGE <br /> iV, S, E, W <br /> i�OTES <br /> ���� -c��. �� <br /> a�� �i�r- 8S, <br /> �,1}.1G�LE �hMur7 Q�S <br /> l-4.2O l�Ia . �� <br /> �` � --i � - � � <br /> � �—��e� <br /> SEWER CONNECTION CHARGES <br /> � <br /> YEAR � S� TRUNK S ��� - �� <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S 3�� " �� <br /> SEWER PERMIT FEE g ��-L�U <br /> ::ATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERM:IT FEES S ��- �` �7 <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE • <br /> APPROX. LOC,4TION Of SIDE SEWER OR TEE IN THE MAIN: � 2/�/3� TO P�c� <br /> fS4�PL�-a� 20 F''Z l`-� �F �:C �u�YL 0�= LDZ � .dPO,eO� <br /> �t'z I7��iP AT PI�- • CHART �-'l9-Z£-�� <br /> i <br /> I�JFO COMPILED OY: DATE <br /> APPROVAL: DATE <br /> ��-P�7'G�,�' G o p�- �� SZ� <br /> pd�;(J[.� C o v�L-� l S• C9a <br /> s-en <br />