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DEPAkfMENT OF COMMUNITY DEVELOPMENT �EPVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS �� 3 7�%>r� �T S' «� TYPE <br />(1) BUILDING PERMIT FEE �'�� �=�c' �:`� <br />(A) PLAN CHCCK FEE <br />(2) PLUMDING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO [3E PAID PRIOR TO HUILDING PERMIT ISSU�NCE <br />(A) TO [3E DETERMINED [iY BLDG INSPECTOR �_ INCH <br />([l) EXIST N'ATFR SFRVIC[, �PPUCATION NO <br />� <br />(f) APPROX IOCAII(�N:+'-: , �i1�� ��.'�_c..L%S'— R=�`-L <br />CHAKT <br />� F ".-� <br />s ZY_'S, Do <br />(5) DRIVLWAY Pf:RMIT 10 Il[ PAIU PRIOK TO SUILDING PFHh11T IS- <br />SUANCE ? `•� FEET _l `r�"��� DRIVEW�Y(TVPE) S <br />b <br />(I) STATUS OF SEW[R CHARGES: <br />UOND �—DISTRI�.T <br />NOTCS <br />fOOTAGI: ------- <br />N S, L, Ati' <br />? �o • e'7 C_� <br />/ F3 • OC� <br />GoO, �'n <br />/ 1 �� U <br />c.�i, i�C� <br />5[�VCR CONNECTION CHARGES <br />YEAR _�7� THUNK E 7 �f�-��, <br />LATERAL —= _� <br />TOTAL CONNECTION CH�RGES S �Z » ' ��� <br />5[WER PERMIT FC[ <br />CATCN 13A51N PERMIT FEE <br />TOTAL SEW[R PERMIT FEES <br />(7) MONTHI.Y SCWER CFIARGES: <br />SEWER CONSTRUCTION <br />s ���- �r.� <br />TRUCK f <br />LATER.AL <br />5[WER SfRVIC! ��' S� <br />APPROX. LOC�TION OF SIDE SE�NEFI OR TEf IN TNE MAIN: l�1'� TU i'��- �OPF'.F'F+� <br />ln �' 7 �. O� � LC/ C OG G> L vT �.�i�f'�-tix - <br />�� C-'�C' U� CFIAR7 L-/ 2-zr-�F <br />INFOC��h11'l1.CD [lY: <br />APPROV'AL <br />DAT[ <br />DATE <br />