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r <br />r <br />L <br />L <br />�' - <br />T <br />DEPARiMENT OF COMMUNITY DEVEIf�VMENT 3ERVItES <br />BUILDING PERMIT !NF()6t11AATION <br />ADDRESS �� j 74Ti ST. �<<� TYPE_ <br />(1) BUILDING PERMIT FEE 3F30c�t�•�" <br />(AJ PI.AN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PA�D PRIOR TO BUI�DING PER�MI/T' ISSUANCE <br />(A) TO BE DETERMINED HY f3LOG INSPECTOR �_ INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. __ <br />(C) APPROX. LOCATION _:�C� t�-i�T ��T/L i75' <br />, <br />� f',� . <br />S 2 3�y. J o _ <br />l y. o v <br />��. �� <br />L;•p . f�� � <br />A^% CHART <br />(5) DRIVEWAY PERMIT i0 DE P�ID PRIOR TO DIiILDING PERfv11T IS- <br />SUANCE Z� FEET �hc�c> DRIVEWAY(TYPE) E ( 7. ST, <br />�, 3'37.�� <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NUTES <br />FOOTAGE _ _ <br />N, S. E, W <br />SEWER CONNECTION CHARGES <br />YEAR �Z TRUNK S Z��' �� <br />LATERAL <br />TOTAL CONNECTION CHARGES � j Z70 •tnp <br />�•�3 <br />SEWER PERMIT FEE ��I�I�Y 3��� �� <br />CATCH EiA51N PERMIT FEE <br />TOTAL SEWER PERMIT FEES S_ �F� •�''° <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />TRUCK 5 <br />LATERAL <br />SEWER SERVICE � • �a <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: l�r Ta P%- �r've c� <br />T?�'- � CHART L/'Z- Z 8- <br />INfO COMPILED BY: <br />APPRU�'AL: <br />4/ 19 <br />DATE <br />DATE <br />� <br />f�l <br />'1 <br />J <br />J <br />.� <br />