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DEPARYAIfR1T OF COAIMUNITI' DEVELOPMENT SERVICES <br /> � U � lLDI �1G P'ERA�IT IN �Ol�iV��a�p ��N <br /> �hDDRE55 _ TYPE <br /> (1) BUILDING PERMIT FEE � <br /> (A) PLAN CHECK FEE <br /> (2) PLUIvfBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIUR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST �h'ATER SERVICE, APPLICATION NO. <br /> (C) APP�OX. LOCATION _ - <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR l7 BUILUING PERMII IS- <br /> SUANCE FEET _DRIVEWAY (TYPE) S <br /> S <br /> (7) STATUS OF SEWEF CHARGES: <br /> BOND DISTRICT FOOTP.GE _._ <br /> N 5 E v� <br /> NUTES <br /> SEUiER CONNECTION CHARGES <br /> Yi AR TRUNK S <br /> LASFRAL <br /> TOTAL CONNECTION CHARCES $ <br /> SEWER PERMIT FEE $ - <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT fEES $ <br /> (7) MONT �lY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SE`NER SERVI(:E <br /> APPROX. LOCATlON OF SIDE SEWER OR TEE IN THE MAIN: <br /> t <br /> �: 1 <br /> CHART -- <br /> � <br /> INFO COMPI LE D BY: DATE <br /> APPROVAL: DATE <br /> 41-79 <br />