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DEPAIITMENY Of COMMUNITY DLVLL0PML,v1 �,A% u:Cs <br /> BUILDING PERMIT INFORMATION <br /> Z41 =s 9-1:!-) --r 64 24- S. L, TYPE S 47e. <br /> ADDRESS $ <br /> (1) BUILDING PERMIT FEE 4_0f 000 _6v rb of �2781r <br /> (A) PLAN CHECK FEE 24 ,06 <br /> (2) PLUMBING Z( . 00 <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMS ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR ----- NCH <br /> �- - <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> 41 tf DG ' w C'u'e CHART 'S- 2 2 8 4_. <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- z 1� <br /> SUANCE . FEET e-rJd,leDRIVEWAY(TYPE) S <br /> $ <br /> O STATUS OF SEWER CHARGES. Z� FOOTAGE <br /> BOND DISTRICT <br /> N, S, E. W <br /> NOTES <br /> Q)2d 72.t -8c� <br /> 3�, act <br /> SEWER CONNECTION CHARGES Z70- Ou <br /> YEAR 8 TRUNK S <br /> LATERAL -2-70- CC-) <br /> TOTAL CONNECTION CHARGES 83 $ <br /> 3 30- ov <br /> SEWER PERMIT FEE a /I�I g' $ <br /> CATCH BASIN PERMI ! FIEj pU <br /> TOTAL SEWER PERMIT FEES s <br /> (7) MONTHLY SEWER CHARGES: s 5 <br /> SEWER CONSTRUCTION TRUCK <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: f'" '.�..,r.. <br /> ilrki.2F� L �v �T c �F �n <br /> CHART u c� <br /> DATE <br /> INFO COMPILED BY: DATE <br /> APPROVAL: <br /> 9.179 <br />