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DEPARTMENT OF COMMUNITY OEVELOPMENT SENVICES <br />BUILDING PERMIT' INFORMATION <br />ADDRE55 �'`�'2 747f� 5r 5.ct,', _TYPE__ <br />nc� <br />(1) BUILDING PERMIT FEE ��; ��°�' <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO f3E PAID PRIOR TO HUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECfOR �_ INCH <br />(B) EXIST. _ WATER SFRVICE, �f'PLICATION NO. <br />(C) APPROX LOCATION ''� L !� '� � l ���� %' y' <br />� f-;�-' <br />g _ 2 3 �•, �Z� <br />/3.� �. c . <br />20.��t� <br />' .,� <br />%� l'��'�'U <br />�.^�.�t� <br />I"�.--I� CHART <br />(5) DRIVEWAY PFRh11T TO f3E PAID PRIOR TO f3UII.DING PERMIT IS- <br />SUANCE "` FEET G�"-�� _DRIVEWAY(TYPE) S � l �'� <br />�- _� <br />S _. <br />(7) STATUS OF SEWER CHARGES: <br />[30ND � __DIS'.RICT <br />NOTf:S <br />FOOT�GE_ <br />N, 5, I , �h' <br />sf wi �z c��n,Ni ��i i��N c i�nFt<,i�ti <br />�tnk __ �`.� _�F;��Nk <br />LATER�L <br />TOL1L COI.P.ECTION CHARGES <br />SE�.vER PERMIT FEE <br />CATCH BASIN Pf:RN�1T FEE <br />TOTA� �EWER PERMIT FEES <br />(7j MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S <br />F� <br />� e� ,�. � -- <br />,Z _7O. � �, <br />$ _'_�,O • E' D <br />--- <br />b <br />TRUCK b <br />LATERAL <br />���'. �a <br />/•/5.. <br />SCWER SERVIC[ ���� — <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ��T Tv f�i�UF' L��c� �' <br />�t'vl�� t._t'' /_'r c> <<�F �CiJ.,t/. Li �` ll�;ot'cv� 11'i--r _ <br />]�1��5' t�T 1���- _CHAR� lZ-ZB-� _ <br />INFpCOMf'ILED BY: <br />APPROVAL: __— <br />� <br />_ DATE _ <br />_ DATE _ <br />