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..-+ � <br />l.�rA�TMENT OF COMMUNITY DEVELO►MtNT SERVICES <br />BUILDING PERMIT INFORMATION <br />, <br />ADDRESS � P�l! ��2 T!" _�T 5� E TYPE �"' ��s��b <br />(1) BUILDING PERMIT FEE 3cg �X�• �" b y��k. Sp�s'(p <br />(A) PLAN CHECK FEE ¢ .p b <br />(2) PL'JMBING 7 • D D <br />(3) MECHANICAL 2 35� �� <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER3M T ISSU NCH <br />(A) TO 8E DETERMINED BY E3LDG INSPECTOR <br />(8) EXIST. WATER SERVICE, APPLICATION NO. <br />'�GZ, �Mtv • nMw�r �i- OF _ <br />(C) APPROX. LOCATION �Z <br />�Q,n� A�d s,G. _CHART <br />S— �9-Z8-5 <br />(5) DRIVEW �_PaER�SM, IT TO BE PAID PRIOR TO BUILDING PERMIT IS- ��. BO <br />SUANCE �--�EET G��� DRIVEWAY(TYPE) S <br />a <br />(7) STATUS OF SEWER CHARGES: <br />BOND � —�ISTRICT 33.--FOOTAGE �Z��— <br />N, S, Q W <br />NOTES <br />O�O 7/ 5-Fj O <br />A,�n 2 <br />/40 �X . � 77 <br />� .52.l�3 <br />SEWER CONNE�T��N CHARGES �� <br />YEAR � TRUNK S 8¢�' <br />/D/d . 3 O _ <br />LATERAL �8 ��. �� <br />TOTAL CONNECTION CHARGES s <br />�3 �� <br />SEWER PERMIT FEE /� ,/� <br />CATCN BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: TRUCK <br />SEWER CONSTRUCTIUN <br />LATERAL <br />S[WER SERVICE <br />APPRUX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />s �- � <br />Z�.[�C� <br />S $p' Bt� <br />s �.30 <br />7. 7 7. <br />J' .�i <br />CHART S-�9'2g-S <br />DATE <br />DATE <br />�,-�,�.�, ��fi <br />� n /� /�-r <br />