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fl <br />DEPARTMENT OF COMMUNITY DEV[LOPMENT SERVICES <br />BiJ�LDING PERMIT INFO�tMATIUN <br />ADDRESS s D �� i'`'`L,� ' � ��- -~f �l T �'�'� -- <br />(1) BUILDING P[RMIT FEE ��� PSJ � <br />(A) f'LAN CHfiCK FEF <br />(2) PLUMf]ING <br />(3) MFCHANICnL <br />(4) WATEft SERVICE TO f�F P�ID PRIOR TO OUILDING PERMIT ISSU�NCF <br />(A) TO BE DETFRMINED RY 13LDG INSPF:CTOR �� INCIi <br />(U) EXISi. WATER SERVICE, APPLIC�TION NO. <br />(C) AP('ROX. LOCATION -- <br />CHART — <br />(5) DRIV[WAY PERMIT TO t1E PAID PRIOR 70 E�I�ILDING PERMIT IS- <br />SUANCE ^'�'-'` FEFT _ l�G'N('_ _DKIVEWAY(TYPE) S <br />Y <br />(7) STATUS OF SEWER CHARGES: <br />E�OND �� D15TRICT <br />NOi FS <br />FOOTAGE —_ <br />N, 5, E, W <br />SEWER CONN[C1lON CHARGES <br />'ri:AR .__�_- TRUNK <br />LnTERAL <br />TUTAL CONNECTION CHARGES <br />S[WFR PCRMIT FEE <br />CnTCH 11ASIN PERMIT F[E <br />TOT�L SEWER P[RMIT FF[5 <br />(7) MONTHLY SEWFR CHARG[S: <br />SCWLR CONSTRUCTION <br />TRUCK <br />LATERAL <br />SEW[R SERVICE <br />APPR(�X. LOCATIUN OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COh1PILED f�Y: <br />APPROV�L __-- <br />9-1 79 <br />�o <br />�n � <br />. <br />y � %D <br />i <br />5-- ��— <br />�� <br />SD <br />_ CHART � �5-'7'p- �— <br />DAT[ - <br />DnT[ _ - - <br />z <br />U <br />r <br />n <br />M ti <br />"'� � <br />r�r -� <br />N S <br />v <br />m <br />c� <br />mc <br />�� <br />-� c <br />o� <br />-a �: <br />_ -� <br />m <br />�� <br />c' <br />a- <br />r� <br />-I V <br />K <br />O ;' <br />�l : <br />--I f' <br />2 <br />m �- <br />o �. <br />or <br />�r� <br />c v� <br />� N <br />z C� <br />-i r <br />. m <br />� <br />-� <br />x <br />a <br />z <br />-� <br />x <br />� <br />z <br />0 <br />--1 <br />H <br />n <br />m <br />