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DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS -Z 5�B �Gz'd G� ' S.E —TYPE <br /> $ X137. ��'--- <br /> (1) BUILDING PERMIT FEE ll ? t55_10DE• ©� G� , '�` Sn57d <br /> (A) PLAN CHECK FEE 0 o <br /> (2) PLUMBING !& • Oct <br /> (3) MECHANICAL lam, p p <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER-MANCE - <br /> (A) TO BE DETERMINED BY BLDG INSPE(T"R 3 INCH <br /> (B) EXIST. —_— WATER SERVICE, APPLICATION NO. <br /> i n.i 4p;lpf2/Jx <br /> (C) APPROX. LOCATION L+ �� �cve�-�• � ,� �F,u�JGoa. <br /> �7u�m To P/L <br /> OF 80r✓R- 5a <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- S'7� <br /> SUANCE 25 FEET �'yG DRIVEWAY (TYPE) $ _� 2' <br /> $ 3aj 3.5b <br /> (7) STATUS OF SEWER CHARGES: <br /> 130ND It- DISTRICT FOOTAGE _. <br /> N, S, E, W <br /> NOTES <br /> `J��6T�I,0L �ZCl6Y. Cy-�O�{.fb'z <br /> S •� Ems . 339• <br /> SEWER CONNECTION CHARrES <br /> YEAR �0 TRUNK. s - <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ - __— <br /> SEWER PERMIT FEE <br /> CATCH BASIN PERMIT FEE /o —�© <br /> TOTAL SEWER PERMIT FEES '440' <br /> (7) MONTHLY SEWER CHARGES: TRUCK $ 25 <br /> SEWER CONSTRUCTION <br /> LATERAL - <br /> SEWER SERVICE <br /> APPROX, LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> h`r TQ F'L /\PP,pO /l <br /> /sn�vrc �• ! o eo �c . SE , /¢9x CHART U' <br /> - <br /> 'S.5 <br /> DATE <br /> INFO COMPILED BY: DATE - <br /> APPROVAL: <br />