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� . ` . T <br /> DEPARTMEHT UF COMMUNITY DEVELO►MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS TYPE <br /> (1) BUILOINC PERMIT FEE b <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING � <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE IEET DRIVEWAY (TYPE) b <br /> 5 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND D��TRICT FOOTAGE <br /> N, 5, E, W <br /> NOiES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNF. 3 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SE�YER PERMIT fEE s <br /> CATCH BASIN PERMIT FEE — <br /> TOTAL SEWER PERMIT FEES b — <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S � <br /> LATERAL l <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> I <br /> INFO COMPILED IiY: DATE _ <br /> APPROVAL: �ATE — <br /> I <br /> 41J9 <br />