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DEPARiMENT OF COAfMUNITY D"cVEC�PMENT SFRVICES <br />gUILDING PERMIT 6fdFORFa�1ATiON <br />� ADDRESS Z.�� %i 7Ti-� l7k'-- �v' TYPE _ <br />(1) BUILDING PERM17 FEE 3�'���C�- �`� <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANIC�.!_ <br />(4) WATER SERVICE TO BE P,AID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED Bl' dLDG INSPECTOR ?'�T INCH <br />;B) EXIST. WATER SERVICE, APPLICATION NO. _ <br />(C} APPROX. LOCATION _ <br />J �/` . <br />$ 22`l� ��' <br />� 2 . r�� C <br />l �-1 • o 0 <br />(�E:a <br />CHART <br />(S) DRIVEWAY PERMIT TO 8E PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE �~ FEET �—E'�'�-' DRIVEWAY(TYPEJ $ 7� J� <br />5 <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />NOTES <br />�L FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR �Z TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S Z-`%C' ".C`C� <br />g �7L�- aZ� <br />$ �n. � c� <br />$ :30. �) <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWEF:OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />9-b79 <br />CHART <br />DATE <br />DATE <br />e <br />!: <br />I <br />