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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />gUILI)ING PERMIT INFORf1�ATION <br />'� a <br />ADDRESS y2� l�'� T'+ y� S C Y. E <br />(1) BUILDING PERMIT FEE 1.�� (� 9'��• � <br />(A) PLAN CHECK FEC <br />� ,, ,�° <br />s 3 3-/, o v <br />(2) P�UMBING <br />(3) MECHANICAL <br />(41 WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCH <br />(A) TO BE DETERMINEL� NY B� DG INSPECTOR �— <br />(B) EXIST. _—. WATER SERVICE, APPLICATION NO. <br />(r" nn.o ✓ •�o �•� ' �./ cr� <br />(C) APPROX. LOCATION 2, w� S,�c�t, <br />�G G//LO�- ,' - 3 "�� <br />p� ��� U !�T rsi�CHART._ <br />(51 DRIVEWAY PERMIT TO HE PAID PRIOR TO BUILDING PERMf� IS- !� �U <br />SUANCE 22 --FEET �'�%�� DRIVEWAY(TYPi) S <br />s ¢53. 57� <br />'Llv. o0 <br />Q�.r�U <br />(v O - rx <br />(7) STATUS OF SEWER CHARGES: FOOTAGE <br />BOND � DISTRICT �'-- <br />N, 5, E, �N <br />NOTES <br />���uc� T�-ve��o���c c�� � <br />�'�,0 7� s £� v <br />��� 2 <br />j.C•�-s �39. ��v <br />SEVJER CONNECTION CHARGES <br />YEAR � � TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />S 33�-c^v <br />s 33c'� - ca U <br />�,� o � � s �a -a � <br />CATCH BP,SIN PERMIT FEE 4/�Q/gl s � �� <br />TOTAL SEWER PERMIT FEES _�— <br />(7) MONTHLY SEWER CHARGES: TRUCK S 2• 2`� <br />SEWER CONSTRUCTION <br />LATERAL <br />�.cU <br />SEWER SERVICE �� �,� T.�_ <br />APPROX.LOCATIONOFSIDESEWERORTEEINTHEMAIN: 5�--� jT`� <br />D M- • <br />��� � CHART 1C� 4�`'' 8� 5 <br />INFO COMPILED BY <br />APPROVAL: <br />q.149 <br />DATE <br />DATE <br />