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DE�ARTMENT QF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PER►i�11T INFQqMATION <br />ADDRESS ��z����'e�/�EL�U/V�Y TYPE <br />(1) BUILDING PERMIT FEE $ <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER S�RVICE TO B� PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY B�DG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />_CHART —._ <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />NOTES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUI�K <br />LATERAL <br />TOTAL CONNECTION 'CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />S <br />S <br />E <br />S <br />TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE iN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />9-1�79 <br />CHART <br />DATE <br />DATE <br />