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DfM�TMEN? OF COMMUNI?Y DEviLOfM[NT fERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS /-2 S ��� �� �� TYPE S f/( <br />(1) BUILDING ?ERMIT FEE S C.Gi'• 9'6�000 � S ��6� � <br />(A) PL11N CHECK FEE - 1'�"�- <br />(2) PLUMBINC — `�� � <br />(31 h1ECIlANICAL �� � <br />(4) W'11TER SERVICE TO RE P/11D PRIOR Tn BUILDING PERMIT ISSUANCE G o <br />(11) TU BE UE I ENMINLU BY LiLUG IIJSPLC I UK �(�/ INCI I <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- a 6 � <br />SUANCE _ FEET DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND � DISTRICT FOOTAGE <br />' ', S, E, W <br />NOTES <br />���. �7���'83 <br />(�^''* ' <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATER�L <br />TOTAL CONNECTION CH/1RGE5 <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />s 3 3a e— <br />s 330 <br />D� <br />s `30 .— <br />s 30= <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE M�IN: <br />INFO COMPILED BY: <br />APPROVAL: <br />5•B4 <br />CHART <br />DATE <br />DATE <br />