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Di►A TMENT OF COMMUNITY pEVfLO�MENT SERVICES <br />BUILDING PEF�MIT INFORMATION <br />ADDRE55 _/// %�i� ,��� �?. _TYPE S % X <br />(1) BUILDINC PERMIT FEE S� ys� °�' s_�2,s �' <br />�;A) PLAN CHECK FEE ,., �=_ <br />f2) PLUMBINC _ ���_ <br />(3) MECHANICAL 1,Q � <br />(�) WATER SCRVICE TO BE PAID PRIOR TO BUILUINC PERMIT ISSUANCE `��� _ <br />(A) TO BE DETERMINED BY BLDC INSPECTOR _ -��/ INCH <br />(B) EXIST. WATER 5 VICE, AP LICATION NO <br />(C) APPROX. LOCATION oo_ �j� Z�,7`� <br />U'=��--� � CHART <br />(51 DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br />SUANCE .� S fEET ���DRIVEWAY(TYPE) f _La � <br />S �//�— <br />(7) 5TATU5 OF SEWER CHARGES: <br />DOND _� DISTRICT <br />NOTES <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONNECTION CHARCES <br />YEAR �� TRUNK <br />LATERAL <br />TOTAI CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MO�THLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />TRUCK <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED BY: <br />APPkUVAL <br />9 7.79 <br />S � 70 � <br />S .��o- <br />S_ 30� <br />5 30 <br />S f•!S �70� <br />G.S� <br />CHART L �� - -? �" y <br />DATE <br />DATE <br />1 <br />J <br />