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. ` <br /> DEPARTMENT OF COMMUNITY D'_VELOPMENT SERVIf.ES <br /> � IJiL� l �1�' �� R11� �? ! I'� �ORfV1AT10fV <br /> ADDRESS �_ TYPE _ <br /> (1) BUILDING PERMI i FF� $ _ <br /> (A) PLA�d CHECK FEE <br /> (2) PLUM8ING <br /> (3) MECtiANICAL <br /> (4) WATER SERVICE TC� 8E PAID PRIOR TO BUILDING PERh11T ISSUhMCE <br /> (A) TO BE DETERMINED 6Y BLDG INSPECTOR :- INCH <br /> (B) EXIST. �YATER SERVICE, APPLICnTIUN NC�. <br /> (C) APFROX. LOCATION <br /> -- CHARf <br /> (5) DRiVEWAY' PERh11T TO B� PAID PRIOR 70 �UII_DING ?[P.MiT IS- <br /> SUANCE _ PEET _ DRIVEWAY (TYPE) � __ <br /> $ — — <br /> p) STATUS OF SEWER CHARGE�: <br /> BOND DISTRICT FOOrAGE <br /> N, S, E, `:ti:' <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CON�'ECTION CHARGES 3 <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S _ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER C�NSTRUCTION TRUCK S _ <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> A�'PROVAL DATF _ <br /> 9179 <br />