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DEPAIITMENT OF COMMUNITY DEViIUPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRE55 �� �L-� l� ��.� � � '� ' � lYPE _ // % j� - <br />(1) BUILDING PERMIT FE[ ��C�000 �f � -��C� � <br />(n) PLAN CHECK FEE ��� <br />� 0 �' <br />(2) PLUMBING � <br />(3) MECHANICnL �`� � <br />(4) WnTER S[RVICE TO l3E PAID PRIOF TO [)UILDING P[KMIT 155U�NC[ �0 � <br />(n) TO BE DETERMINF:D E3Y ULDG IN�PECTOR INCH <br />(B) EXIST. _ WAT[R SERVICE, nPPI.ICATION NO. <br />(C) APPROX. LOCnTION <br />CHART <br />(S) DRIVEWAY PERMIT TO 4E PAID PRIOR TO [3UILDING P[RMIT IS- � <br />SUnNCE FEET DRIVEWnY(7YPE) S �0 <br />5 <br />(7) STnTUS OF SEW[R CHARGES: <br />�OND _�-�ISTRICT <br />NOTES <br />fOOT�G[ <br />N, S, E, W <br />SEWCR CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />S[WER PERMIT fEE <br />Cl�TCH E3ASIN FERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />1,7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />Oj <br />� �� 0 <br />�_ 330 <br />3 <br />G <br />e` <br />5 �' 0 � <br />TRUCK 5 <br />L�TERAL <br />5[WER SERVICE <br />nr'PROX LOCATION OP SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED l31': <br />��PPROV�L; <br />j O4 <br />CHART �- /3 ~� �- y <br />DATE <br />DATE <br />z <br />0 <br />-i <br />., <br />� <br />m <br />M F�1 <br />'.'� TI <br />�r �--I <br />N S <br />0 <br />m <br />co <br />mo <br />-i c <br />o� <br />m~ <br />.. <br />�o z <br />a --i <br />rx <br />M F�1 <br />�� <br />� <br />� <br />O A <br />T �--1 <br />2 <br />m .- <br />N <br />O <br />�r <br />m <br />c v+ <br />3 N <br />M <br />Z C� <br />-i r <br />. m <br />a <br />� <br />-� <br />x <br />a <br />z <br />-, <br />:- <br />v <br />z <br />c <br />� <br />� <br />m <br />