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DEPAIITMENT ^F CO�IMUNITY DEVFLG�?N:h f Sf:RVICES <br />BUILDING PERMIT iN�'t��RMATION <br />ADDRESS �0��% �'7�� �/2• s" �'' _TYPE J/��ucE ����Y �r.�. <br />(1) BU�LDINC PERMIT FEE ��7c'7iS�' g�' g ..3�CP• 40 <br />(A) E'LAN CHECk: FEE l'�-'� �`�D Z <br />(2) FIUMBINC <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDC INSPECTOR � I,�CH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. �__,_ <br />(C) Af�r ROX. LOCATION � � ���� �PP2� ��,F'7 <br />�-r 6F �Df= If�T.d �`�ART L—/ 1'ZS—� <br />(5) DRIVEtiVAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF SEWER CHARGES: <br />BOND -� DISTRICT <br />NOTES <br />5�u� D�v- � <br />Dr�i� /�7i—�'s� <br />5 r�t.1c�GE �—,�+n-•'ic.� ,�� <br />h�z0 /7�j, ov <br />,5�„� 4 �i. o0 <br />�1�50 <br />DRIVEWAY(TYPE) S <br />$ <br />FOOTAGE <br />N, 5, E, W <br />SEWER CQNNECTION CHARCES <br />YEAIt �S 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 />SE\NER CONSTRUCTION <br />TRUCK <br />LATERAL <br />2O.00� <br />� �.�G.D1 <br />S _ <br />;��-s�2� <br />3 _�•-- <br />_ � <br />$ t�D<F.�d <br />g 3 0, �d <br />� <br />SEWER SkR`✓ICE • <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: S� �Q�� �}����'� <br />S' F7 S O F= �- cr� l�7,.i ��. - S• �• <br />CHART L —/�'Z�—�'" <br />INFO COMPILFD BY: <br />APPROVAL: <br />s-e� <br />DATE <br />DATE <br />