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�,. . <br />DE►ARTMENT OF COMMUNITY DIVELO�MENT SERVICES <br />BUII.DING PERMIT lNF�RMATION <br />A.DDRESS L.��'�/ �!¢Ts� �T S uJ. TYPE_ �.F',Q <br />';) BUILDING PERMIT FEE t�¢EL�}�. �" S 2`�Z'�U <br />(A) PLAN CHECK FEE � S�Sc c__ __ <br />: ) PLUMBING 2 O •4�-',� <br />�) MECHANICAL �Z - � � <br />•�l 1NATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE LO0'� � <br />lA) TO BE DETERMINED BY BLDC INSPECTOR ��� INCH <br />(B) EXIST __ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION �: �c_-AT GITi�.'�}� <br />_� <br />I-L-���-i _CHART <br />`.; I)RIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE 'Z`� FEET GOti%c- _DRIVEWAY(TYPE) 5 <br />S <br />; STATUS OF SEWER CHARGES: <br />fiONU � /- DISTRICT <br />NOTES <br />FdO7AGE <br />N, S, E, W <br />Sf WER. CONNECTION CHARGES <br />TEAR `�' Z TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARCES <br />SEWER P[RMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />i') MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCT�ON <br />S <br />/Z• 57� <br />2%O.Oa <br />s 2 %O • c� U <br />s �vQ� • O V <br />S <br />TRUCK S <br />LATERAL <br />� .� • <br />/•/ 1� <br />SEWER SERVICE �' � � <br />A,PPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �O G�U �--��� <br />:'_'jciOW � ur ,t� Sl�1.LlL�"1�i G/���9�8L <br />CHART L-�Z"��`f <br />I�VFO COMPILFD BY: <br />�,I'!'ROVAI <br />��r� <br />DATE <br />DATE <br />1 <br />� <br />J <br />