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R <br />DEPARTMENT OF =0Mh1UNITY DEVELOPMENT SERVICES <br />SUILDINC �'��t10�IT I(�F�RMA�'�O�I <br />ADDRESS 7 3� `� �7'�-� ��- u% TYPE _ <br />("I) BUILDING PERMIT F[F 52, p�c�- °`' <br />(A) PLAN CHECK PEC- <br />(2) PLUMBINC <br />(3) MECHANICAL <br />(4) WATER SERVICE TO DE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DEI�ERMINED BY E3LDG I�'JSPECTOR INCH <br />(B) EXIST. WATER SF.RVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />/ r <br />g 2y2 � o <br />P�. �-- � 2q. �4- <br />ZC�•�O <br />3 /, b� <br />!�D • ��U <br />CHART <br />(5) DRIV�WAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE _ FE[T DRIVEWAY(TYPE) � �b•[�O <br />g 7_- S I9 <br />(7) STA?US OF SEW[R CHARGES: <br />BOND / �y DISTRICT <br />NOTES <br />yw �rl�'�.__ _ <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNFCTION CH lRGES <br />YEAR �S �i TRUNK $ Z70 . D U <br />LATERAL ��, �{3�2"{ <br />TOTAL CONNFCTION CHARGFS $ Z�� � CFG <br />SEWER PERh11T FEE S �•�d <br />CATCH 6ASIN PERMIT FEE � ��U'� _ <br />TOTAL Sc�NER PERMIT FEES 3- S �--�' �� <br />(7) MONTHLY S[WER CHARGES: <br />SFWER CONSTRUCTION <br />TRUCf: S <br />LATERAL <br />SEWER SERVIC[ <br />APPROX. LOCATION OF SIDE SE4VER OR TEE IN THE MAIN: <br />INFO COMPILED iiY: <br />APPROVAL: _— - <br />9 7 79 <br />CHART <br />DATF <br />DATE <br />F� r <br />�� <br />U ' <br />f�'. r. <br />m{ <br />� <br />� <br />�� <br />�: <br />�. <br />�. <br />� c; <br />o; <br />-, <br />� <br />�; <br />A <br />