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DE►ARTMENT OF GOAAMUNITY pEVEIOIMENT SE�VICES <br /> BUILDING PEt�iVll'T INFORMATION <br /> ADDRESS �S�-� ������ Q� TYPE GGkl1.</! . <br /> (1) BUILDING PERMIT FF.E � �3�.000- �b b •��• �v <br /> (A) PLAN CHECK 'rEE �o• � 7��� <br /> (2) PLUMBING 2g2•�� <br /> (3) MECHANlCAL 2?4•� <br /> (4) WATER SERVICE TO uE PAID PRIOR TO BUILDING PERMIT ISSUANCE _ -- <br /> (A) TO SE DETERfv11NED BY BLDC INSPECTOR INCH <br /> (B) FXIST. _ _ WATER SERVlCE, APPLICATION NO. <br /> (C) APPROX. LOCATION To "I3E l�-4ST(��.C� 1�Y <br /> `L7 '-`V��PC� CHART G- 1�-28-�... <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BEJlLDING PERMIT IS- <br /> SUAfdCE _FEET CRIVEWAY(TYPE) S <br /> S <br /> (7) STATUS OF SEWER CIIARCES: <br /> BOND DISTRICT FOOTAGE __ <br /> N, S, E, W <br /> NOTES <br /> TbTh�. � JE.� � tit/A�''� �'=�.5 <br /> �,�, w �r�- �.rx.� . 1s. <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARCES S _ <br /> SEWER PERMIT FEE $ — <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSSRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION Of SIDE SEWER OR TEE IN THE MAIN: <br /> CHART G-13-�8�4' <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 5•84 <br />