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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERJO�l11' INFORMAT�Q�d <br />ADDRESS �7%/(,' 72'�_��-' �� TYPE <br />(1) BUILDING PERMIi FEE 'SU��v`U•�U <br />(A) PLAN CHECK FtE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO 8E DETERMINEU BY DLDG INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX.LOCATiON'�-i��/3g�,» T�' r/c- ei�i�n�x �L�T <br />��. �. <br />S �J� '' E' �� <br />.����-n, c� <br />�Z �I� c� U <br />/��c�v <br />li�U� O�i <br />N�� . ��� _. � <br />G n� ��/J �..�r.� c� CHART f-" '/-"/j�G?- � <br />(5) DRIVEWAY PFRMIT TO NE PAID PRIOR TO BUILDING PERMIT IS- <br />SU�NC� FEET DRIVE\NAY(TYPE) S c� <br />(7) STATUS OF_� ER CHARGES: <br />80ND � DISTRICT <br />NOTES <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONN[CTION CHARGES <br />YEAR ��� _TfUNK <br />i_ATERAL <br />TOTAL CONNECTION CNARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />E� <br />g Z %�, c9[7 <br />g 2 %�� , c9C7 <br />g _ '�i J. �C'� <br />g _ ��/7. � U <br />S <br />SE�YER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE �N THE MAIN: <br />�C-�� c� LJ' .(l-� f�t�Gn �c�'-'i= � <br />/�J �'t� J� �r ' C'�- L[+-> `' Ar'i�,r' C'x 4� F'" 7 G��-�=.T' - <br />� CHART ��� -�— <br />IIJFO COMPIL[D E3Y: <br />F,PPROVAL: <br />DATE <br />DATE <br />