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.. <br /> � <br /> 1 <br /> DE►ARTMENT OF COMMUNITY DEVELO�MENT SERVICES • <br /> BUILDING PERMIT INFORMlATION � <br /> ADDRE55 TYPE � <br /> (1) BUILDING PERMIT FEE ; <br /> (A) PLAN CHECK FEE ' <br /> (2} PLUMBINC <br /> • (3) MECHANICAL � <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSU/�NCE <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. L�OCATION � <br /> CHART <br /> (5) DRIVEWAY PERMIT TO B� PA�D PRIOR TO BUILDINC PERMIT IS- � <br /> SUANCE FEET DRIVEWAY(TYPE) 3 <br /> S <br /> (7) STATUS OF SEW[R CHARGES: <br /> BOND DISTRICT FOOTAGE I <br /> N, S, E, W I <br /> NOTES '' <br /> SEWER CON�ECTION CHARCES <br /> YEAR TRUNK b <br /> LATERAL <br /> TOTAL CONNECTION CHARCES 3 <br /> SEWER PERMIT FEE E <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES b <br /> (7) MONTHLY SEWER CiiARCES: <br /> SEWER CONSTRUCTION TRUCK 3 <br /> LATERAL <br /> . SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> ' INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br />� 4149 <br />� <br />� <br />