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` 1(.r`I <br /> DE►AtTMENT OF COMMUNITY DEVELOIMENT SERVICEf <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT FEE S <br /> (/1) PL/1N CHECK FEE <br /> (2) PLUMBlNG _ <br /> (3) MECHANICAL <br /> (4) W/�TER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE laS�°i <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR , �/�� INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEW/1Y PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SR. ANCE _. FEET DRIVEWAY(TYPE) S �l}�' <br /> S <br /> (7) $TATUS OF SEWER CHARCES: <br /> BOND �� DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES /� SO <br /> �n� Il�l-�S : <br /> .5 e cw.� 'f� ,� <br /> wad-�i �s v- do <br /> �, yr� <br /> SEWER CONNECTION CHARCES <br /> YEAR TRUNK s 3 3a°� <br /> � LATERAL �A S � <br /> TOTAL CONNECTION CHARGES S �� Stl" <br /> SEWER PERMIT FEE S ��/'� _ <br /> CATCH BASIN PERMIT FEE _ <br /> TOT�1L SEWER PERMIT FEES S �r� <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK f <br /> LATERAL <br /> SEWER SERVtCE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: ,_ <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVtiI• DATE <br /> �.� s-e4 <br /> *, <br />