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DE►AIITMENT Of COMMUNItY DEVElO►MENT SERVICES <br /> BUILDING PERMIY INFURlNATION <br /> ; <br /> , <br /> � <br /> AUDRESS TYPE <br /> (1) BUILDING PERMIT FEE 3 <br /> (A) PLAN CHECK FEE — <br /> (2) PLUMBINC �— <br /> (3) MECHANICAL <br /> (4) W.�TER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. 1NA7ER 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) S <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SH1JE� `��.'FE� <br /> o� q84 - 83 � <br /> �-r�,.dc�ra,� �-coe� <br /> Zp� o3z �'�C . Z9� <br /> � s8�q .38 <br /> SEWER CONNECTION CHARGES � <br /> YEAR TRUNK S <br /> l.ATERAL <br /> TOTAL CONNECTION CHARGES b <br /> SEWER PERMIT FEE 5 <br /> CA1CH BASIN PERMIT FEE <br /> TOTAL SEWER PERMI-f FEES $ <br /> (7) MON7HLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> s•ea <br />