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DE►ARTMENT OF COMMUNITY DEVELO►MENT SERV�CES <br />, BUILDifVG PERMIT INFORMATION <br /> ADDRE55 TYPE <br /> (1) BUILDING PERMIT FEE 5 <br /> (A) PLAN CHEtK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PEftMiT ISSUANCE <br />� (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> I` <br />�� (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) 3 <br /> s <br /> (7) STATL'S OF SEWER CHARCES: <br /> BOND DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> I ' <br /> I _. aA . �....s.. a.. _ <br /> {}w}r� t �t� �p � 1 -.. �� - <br /> ; "a 3�.�Si r �..._.. j+mn«.�..... - <br /> ��n 1 ��++.w. <br /> a �d 4 f S S+I J+�L-,.-�--�+r.�- N:.+r«. <br /> . i"a +vr `���6 �,.��'T ••„5'. �_ <br /> .:._...�.. a:.. <br /> �y } � i . <br /> .�+:,,'�s:C'1 _ �.* tl ., v..4 � � -., < .._ .. <br /> -�s . <br /> '���"" SEWER CONNECTION CHARCES <br /> �• YEAR TRUNK 5 <br /> � <br /> LATERAL <br /> " TOTAL CONNECTION CHARCES 3 <br /> ��; <br /> SEWER PERMIT FEE s <br /> CATCH BASIN f'ERMIT FEE <br /> TOTAL SEWCR PERMIT FEES b <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CC�NSTRUCTION TRUCK b <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWEP.OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: __ DATE <br /> APPROVAL: DATE <br /> 1 1 <br /> .�,.i,�:_ _..�_ ._..�._._._ ..._.,_,..�.,._ <br /> 9-1�79 <br /> II <br /> ! <br />