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DEPARTMENT OF COMMON�TY DEVEIOPMENT SF.KVICES <br />BUILDING �'ERMIT INfORMAI"ION <br />ADDRESS 4' ��I 7� 7�,1 � r. S- �-t-' --. TYPF -- <br />(1) BUILDING PERMIT FEE `.� �'2`'�'�� <br />(A) PLAN CHECK FFE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVIC[ TO E3E f'AID PRIOR Tt7 BUILDING PFRMIT ISSUANCE <br />(A) TO BE DETER��IINED BY E3LDG INSPECTOR `-�� INCH <br />(B) EXIST __ WATER SERVICE, APPLICATION NO, <br />(C) APPROX. LOCATION X-� �� ��� C/7-�c--. Trr _ <br />l� � <br />g 3E��. E�o _ <br />Pv � aZo •�� � <br />�L(v•c`�c7 <br />� pn <br />lP�' - c� v <br />/"�<��- CHART __— . __ <br />(5) DRIVEWAY PFRMIT TO (3E PAID PRIOR TO HUILDING PERMIT IS- <br />SUANCE _ 2`� __FEET GU�� DRIVEWAY(TYPE) S ��� '`� <br />g �(-Z�. ��� <br />(7) STATUS OP SEWER CHARGES <br />BOND L� DISTRICT <br />NOTES <br />FOOTAG F _ _ <br />N, 5, E, �h' <br />5l:N'[R l'ONNLCTION CH�RGES <br />1'cPR �''1' TRUNK <br />L�TERAL <br />TOTAL CONN[C TION CHARGES <br />SEWER PERMIT FEE <br />C�TCH BASIN PERMIT FEE <br />iOTAL SEWEIt PERMIT FEES <br />(71 MONTHLY SEWER CHARGES: <br />S[WER CONSTRUCTION <br />5 — -1 ' f,_ �� r . <br />b �70• c��' <br />$ ?�[�. [rJLJ <br />$ 7�G. c�� l) - <br />TRUCK b <br />LATERAL <br />(v SZ� <br />5[WER SERVICE <br />APPROX LOCATION OF SIDE SEWEK OR T[E IN THE MAIN: L/JT T�' �/t ��f P2c�+k <br />�1 �.� /y 7 �, L= C� r' h.Lt.7 G�G'� F)c F'�r T`'� /1-r-i'�'C� x <br />��—�77�-a_�' !�';,--1 .1L" — CHART � /Z . 1.h �I <br />INFO COMPII ED BY: _— <br />nF�r�Kovn� _ ___— <br />� <br />DATE <br />D�TE <br />