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� � <br /> � <br /> _ � <br /> DEFARfMENT OF COMMUNITY DEVE/OPMFNT SFRVICES <br /> BUILDING PERMIT INFORMATION <br /> , <br /> ADDRESS TYPE <br /> (1) BUILDINC PERMIT FEE E I <br /> (A) PLAN CHECK FEE � <br /> (2) PLUMBING ' � <br /> I <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PFRMIT ISSUANC[ <br /> (A) TO DE Df:TERMINED BY [�LDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROY.. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE fEET DRIVEWAY(TYPF.) 3 <br /> 3 _ <br /> (7? STATUS OF SEWER CHARGES: <br /> BOND DISTRIC7 FOOTAGE _ <br /> N, �, E, 1N <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK 3 <br /> LATERAL — <br /> TOTAL CONNFCTION CHARGES E <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE — <br /> TOTAL SEWER PEFMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK s <br /> LATERAL I <br /> SEWER SERVICE <br /> APFROX, LOCATION OF SIDE SEWER OF TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE i <br /> APPROVAL _ _ DATE <br /> 9 1�79 <br />