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I <br /> DE►ARTMENT OF �OMMUNITY DEVELO►MENT SERVICES <br /> BUILDING PERME'1'' � fdFO�RMf�TION <br /> ADDRESS TYPE <br /> (11 BUILDING PERMIT FEE b _, <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC _ I <br /> (3) MECHANICAL _ <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT �SSUANCE _ <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, �PPLICATION NO. ___ <br /> (C) nPPRO,',. IOCATION __ <br /> CHART <br /> (5) URIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING P[RMIT IS- <br /> SUANCE _FEET _ DRIVEWAY(TYPE) S _ <br /> b _ <br /> f7) STATUS OF SEWER CHARGES: <br /> BOND DIS1 RICT _ FOOTAGE <br /> N, S, E, �Y <br /> NOTES <br /> $EW�R CONNECTIOI� CHARGES <br /> YEAR TRUNK b <br /> LATERAL — <br /> TOTAL CONNECTION CNARGES S <br /> SEWER i'ERMIT FEE E <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S _ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL — <br /> SEWER SERVICE ---� <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THG MAIN: <br /> CHART <br /> , � <br /> INFO COMPILED BY: __ DATc _— <br /> API'ROVAL ___ ___ DATE <br /> 41 79 <br />