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DE�ARTMENT OF COMMUNITY DEVElO/MENT SiRVICES <br />BUILUING PERMlT INFURMATION <br />ADDRESS 3/3 ��(v T�/ 'ST ti�. TYPESi'v4t,6 �M�cy Qc�_ <br />(1) BUILDI;�G PERMIT FEE 35,6k�•°G s 2/5. Sb <br />(n) PLAN CHECK FEE �.Q_�'"E 83%�8 <br />(2) PLUMBINC � ,' ' !$-p0" <br />(3) MECHANICAL !$.D� <br />(4) WATER SERVICE TO BE PA:D PRIOR TO BUILDING PERMIT ISSUANCE ��• �v <br />(A) TO BE DETERMINED BY OLDG INSPECTOR INCH <br />(D) EXIST WATER SERVICE, APPLICATION NO. <br />(C) APPROX I.00ATION __ <br />_ �CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUII.DING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S 2�•DC� <br />' f <br />(7) STATUS O�WER CHARGES: <br />BOND �-- _ f)ISTRICT _,. <br />NOTES <br />�-�(J�� 7�'V � �'� <br />d,�� //7/-8S�y <br />-�r�.Jl1GE �Mit'7� /��3 <br />�� 5'� 7 / . 06 <br />� Co So, eo <br />FOOTAGE_ <br />N, S, E, W <br />SEWFR CONNECTION CHARGES <br />YEAR �'� TRUNK <br />LATERAL <br />TOTAL CUNNECTION CHARGES <br />SFVVER PERMIT FEE <br />CAT('H BASIN PERMIT FEE <br />TOT/�L SEWER PERMIT FEES <br />(7) MONTHLY SFWER CHARGES: <br />SEWER CONSTRUCTION <br />s �30. OO <br />s _334-mD _ <br />S _ � -d0 <br />� --�.ej — <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX L.00ATION OF SIDf. SEWER OR TEE IN THE MAIN: <br />INFO COMPILE D fiY: <br />�PPROVAL <br />s ea <br />CHART <br />D�TE <br />DATE <br />