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i� <br />'I DEPARTMENT Of COMMUPItTI' DEVELO�MENT SERVICES <br />�, BUILDIN� PERMIT INFORMATION <br />` <br /> ADDRESS TYPE <br /> ('I) BUtiDtNG PERMIT fEE $ <br /> - (A) PLAN CHECK FEE <br /> (2) PLUMBItJC <br /> (3) MECHANICAL <br /> (4) YVATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINEb BY BLDC 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 FEET DRIVEWAY(TYPE) 5 <br /> 3 <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT fOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> K+ a ' �_ <br /> � �_ .. �`)�,.i � _.. <br /> 1tf _r i ' "..J` M�... <br /> ♦ { (t� p <br /> i�(ilF Afi ��1�.�.�!F <br /> �v C S .fr.wF i,.�J-.�'�,.,..',..... <br /> ...r.,. .,s .�. .. . <br /> ry v " �. ....-d_.,... -.,r...� .,1�..... <br /> �.a._r c. C �...!�r .q i...�_.....F . <br /> SEWER CONNECTIQN CiiARGES <br /> YEAR _ TRUNK S — <br /> LATERAL <br /> TOTAL CONNECl"ION CHARGES E <br /> SEWER PERMIT FEE 5 <br /> CATCH BASIN PERMIT FEE _ <br /> TOTAL SEWER PERMIT FEES b <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL - <br /> SEWER SERVICE — <br /> APPROX. LOCATION OF SIDE SF.WER OR TEE IN THE MAIN: — <br /> CHART -- <br /> INFO COMPILED BY: _ UAT� -- <br /> APPROV�L: DATE <br /> 91J9 <br /> 1 <br />