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DEPARTMENT OF COMMUNITY DEVEIOPMEWT SERVICES <br />k�UILDING PERMIIT If�F'ORMATIOf� <br />� , <br />.f i7 75 r,, r� �:� �c, i�,�,� � f'k <br />ADDRE55 y > b 3E�7.c'iu <br />\C7 / ZJO L/L� � <br />(1) HUII.UING PERMIT FEE i ��� �� � <br />(A) PI.AN CHECK FEE Zw,f�L� <br />(2) PLUM[iING /�.F,r� <br />(3) MECfiANICAL (,,p,�� <br />(4) WATER SERVICE TO [3F PAID PRIOR TO f)UILDING PE � IT ISSUANCE <br />(A) TO �E DETERMINED [3Y 13LDG INSPECTOK __—., <br />�_ INCH <br />(Fi) EXIST. WATER SFRVICE, APPLICATION NO _ <br />(C) /�PPROX. LOCATION ' ,-' T, P/�. /�F'F'"'r�x "Z P-r <br />UJ 01= 'S. � ccac' CHART <br />L-/L-2�'-d <br />(5) DRIVfV�AY P(:R��IT TO flE P�ID PRIOR TO RUILDING PERh11T IS- `D, n�� <br />SUANCE _ FFf.T _ DRIVEWAY(TYPL) 5 — <br />5 <br />(7) S1�TU5 OF SFW[R CHARGf S. <br />I�OND _ LL" DISTRICT FOOT�GF <br />N, S, f , �N <br />NOTFS <br />SEWER CONNFCTION CH�KG[5 <br />YEAR �c' � TRUNK <br />IAT[RAL <br />TOTnL CONNECTION CHARGES <br />SP�NER P(RMIT FEF <br />C�1CH BASIN Pt.RMIT FEE <br />T(�TAL SCWE R PER��1fT FEES <br />(>> numii��.v stwtk c i�ntu,[s. <br />SEWER CONSIRUCTION <br />� 27C-�.Gu <br />� 2 •�O. U (J <br />� �_ f>Z� <br />� �� C� <br />TRUCK E <br />LATERAL <br />Sf.WER SERVICE <br />_� T n� <br />APPROX I nC�TION OF SIDE SE\NFR OR TEE IN THE MAIN: 2Z <br />� E, f_ �, cc� c_ o,c E,F L u r ��F'P,e �_�-s— <br />�a.����,,� �� r—� T -- L_,?.ae-a <br />_ CHART <br />INFO COh1PI1 ED F3Y: <br />nPPHcn�nl --- <br />DATE <br />DnTI <br />.+ r <br />H' <br />�. <br />NF <br />�t <br />'r <br />�t <br />�� <br />g: <br />�; <br />H` <br />° <br />�, <br />�': <br />; <br />J <br />