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i <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS 241 a �,t ��� -ZA TYPE ✓ � �_ <br />(1)_QUILDING PERMIT FEE 41gazig-©U $ 974• <br />(A) PLAN CHECK FEE 31:3,/O puC <br />(2) PLUMBING 22 • oo _ <br />(3) MECHANICAL 2 1. 0 o <br />[Al WATER SERVICE TO `1E PAIn PRIOR TO BUILDING PERMI�T �IIS�SUANCE 6IC9. 06) <br />(A) iO BE DETERMINED BY BLDG INSPECTOR _-' INCH <br />(B) EXIST. W/.TER SERVICE, APPLICATION NO. <br />(C) APPR0X. LOCATION _e?2d;2�9? !!tlr gita--J 712 A._m_F.ok <br />2� GU 9F •t/� '_CHART U—B- 26 5 <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE <br />FEET <br />(7) STATUS OF .;EWER CHARGES <br />BOND _ a DISTRICT <br />NOTES <br />Z:;.20 7Z-Z-8a <br />.L1Qr=& AL <br />5 F 2&-�s .339. F2e <br />DRIVEWAY (TYPE) $ <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR — RZ, TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BA AN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUC•- ION TRUCK <br />LATERAL <br />SEWER SERVICE <br />2,o,oa <br />s 270,0y <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �2-r<1A&A�2~ ��' eIL — <br />3 r�T �!J G !J E 02 d/pDt�i1 IC;* e_4X <br />CHART 14f2-7R-5r <br />INFO COMPILED BY: <br />APPROVAL: <br />DATE <br />DATC <br />d' <br />9-1.79 <br />