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DFS .TMENT OF COMMUNITY DEVELOPMEK. SERVICES <br /> B [ " LDING PERMIT INFORMATION <br /> IOC 7 7TH P� `:> C12TYPE $ 5r-.ADDRESSexi 3 pv <br /> Q8 3 7. <br /> (1) BUILDING PERMIT FEE T? Colj56v ' <br /> (A) PLAN CHECK FEE /LO.0 U <br /> (2) PLUMBING /M- '-:� <br /> (3) MECHANICAL �. <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BU <br /> II.I !NG PERT ISSUANCENCH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION W(STt7 251 " T" <br /> Qp WiW�cc)L c��OT CHART W-Z.2 t l <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOk TO BUILDING PERMIT IS- <br /> SUANCE 20 FEET �-0n-'G DRIVEWAY(TYPE) $ <br /> $ •:tet-q ,5u <br /> (7) STATUS OF SEWER CHARGES: <br /> BONA S DISTRICT G' FOOTAGE _ - <br /> N, S, E, W <br /> NOTES <br /> C>w LeL.P(l- F3 -0 <br /> P:- Z <br /> SEWER CONNECTION CHARGES /�0 -00 <br /> YEAR � ) _TRUNK $ _ _ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES / $ <br /> � !O 00 <br /> S� <br /> SEWER PERMIT FEE y(,g" <br /> CATCH BASIN PERMIT FEE ; 37J <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: TRUCK $ 0 LU <br /> SEWER CONSTRUCTION <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> 0- (Z— 'L8 <br /> CHART <br /> INFO COMPILED BY: DATE <br /> DATE <br /> APPROVAL: <br />