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DE►A�TMENT flY COMMUNIYY UEVELO/MENT SEIIVItES <br />BU�LUING PEFtM�T INFORMATION <br />, � � `�. :'� , , <br />ADDRESS . i -,' � ��J�r i.�. ��• .,,1,� , ja'� �.�,� . '�.e.,.�/� . c. <br />(1) BUILDING P[RMIT FEE '�G�000 �� , s _ ,� , —`'•'-(���� <br />(A) PLAN CHECK FEE � ;.`��-�.� � <br />(1) PLUMBING �� y � <br />(3) MECHl�NICAL � � v <br />'_� <br />(4) WATFR SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _ � 0 _ <br />(A) T7 BE DETERMINEt) BY f]I DC INSPECTOR �L�.^ INCH <br />(f3) EXIST. WATER SERVICE, APPI.ICATION NO. <br />(C) APPROX. LOCATION <br />CNART _ <br />(5) DRIVEWAY PFRMIT TO BE PAID PRIOR TU BUILDiNG PERMIT 15� <br />SUANCE FEET ^RIVEWAY(TYPE) S _ <br />i_ <br />(7) STATUS UF SEWER CHARGES: <br />BOND �(�-- DISTRICT <br />NOTES <br />��� 9 _ <br />��-,�-r��-��-'.^ � ��7� �s <br />�G'rG �' / 79 °C <br />� y�/. <br />���••� , <br />� `'`'a� <br />FOOTAGE <br />N, 5, E, W <br />ti�� wi H c<�NNi ��i i��N ��iinit<;i ti <br />YF�R ____TRUNK <br />LATERItL <br />TOTAL CONNEf.TION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT F'rF <br />TOTAL SEWER PERMIT FEES <br />p) htONTHLY SEWER CHARGf.S: <br />S[WER CONSTRUCTION <br />3 <br />G �� <br />, �: <br />, �'> �� <br />�'i <br />j �7 0 <br />s -5 �� <br />TRUCK S <br />LATERAL <br />SfWER SFRVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED E3Y: <br />APPROVAL <br />5 B�1 <br />�HART <br />DAi� <br />DATE <br />