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DEPAIITMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PERRAIT INfORMATION <br /> ADDRESS — —_—TYPE <br /> (1) BUILDING PERMIT FEE S <br /> (A) PLA� CHECK FEC -- <br /> (2) PLUME3INC --- <br /> (3' ME�HANICAL <br /> (4) \VATER �E��VICE TO dE PAID PRIOR 70 BUILf31NG PERM�T ISSUANCE <br /> (A) TO UE DETERMINED BY ftI.DG INSPE(:TGR INCH <br /> (B) EXIST. _ WATER SEkVICF, APPLIC.4TION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID f'r;,OR TO BUILDING PERMIT Iy- <br /> SUANCE FEET _.—_ _ DRIVEWAY(TYPE) 5 <br /> S <br /> p) STATUS OF SEWER CHARGES. <br /> BOND _ — DISTRICT ____FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> SEWER CONNEc'TION CHARGES <br /> YEAR _ TRUNK S _ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES E _ _ <br /> SEWER PERMIT FEE s <br /> CATCH BASIN P[RMIT FEE <br /> TOTAL SEWER PERMIT FEES � <br /> (7) MC�NT!iLY SEWER CHARGES: <br /> SEWER CONSTRUCTIQN TRUCK s <br /> LATERAL <br /> SEWER SERVICE <br /> AFPROX. LOCATION OF SIDE SEWER UR TEE IN THE MAIN: <br /> CHART . � <br /> INFOCOMPILEDBY: _— DATE — <br /> APPROVAL: DATE <br /> q-149 <br /> I <br />