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DE�AR1n.iNT �F CUMMUNITY DEVELO/MEN�T StwVICES <br /> BUILDING PERMIT INFO►RMATION <br /> ADDRESS �TYPE <br /> (1) BUILDING PERMIT FEE � <br /> (A) PLAN CHECK FEE <br /> (2) Pl.UM81NG <br /> (3) 1�tECHANICAI <br /> (4) WATER SERVIC[ TO BE PAID PRIOR TO BUILDING PERAIIT i55UANCE <br /> (A) TO 8E DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DI�2IVEWAY PERh11T TO F3E PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET _DRIVEWAY(TYPE) b <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> COND _ DISTRICT fOI�TAGE <br /> N, 5, [, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YFAR TRUNK S <br /> LATERAL <br /> TOTnL CONNECTION CHARGES 3 <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FFE <br /> TOTAL SEWER PERMIT FEES $ — <br /> (7) MONTHLY SEW[R CHARGES: <br /> SEWf:R CONSTRUCTION TRUCK � <br /> LATERAL , <br /> SEVNER SER�/ICE <br /> APPROX. LOCATIC)N �1F SIDE SEWER OR TEE IN 7HE ��1AIN: _._ <br /> _ CHART <br /> IN!=OCOMPILEfJ81': __ DATE __ —•-- <br /> APPROVAL: __-- DATE ._. --- , <br /> 9.1.)'1 <br /> _ 1� <br />