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,` <br /> nEPARiMENT OF COMMUNITY DEVELOPMENT 3ERYICES <br /> � �JILDING PEitMIT BNFG1FeMAT10N <br /> i <br /> ADDRESS _ TYPE <br /> (1) BUILDINC; PERMIT FEE � <br /> (A) PLAN CHECK fEE <br /> (2) PLUMBIP�G <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT 155UANCE <br /> (A) TU BE DETERMINED BY BLDG InSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART — <br /> (5) DRIVEWAY PERP,hIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(Tl'PE) S <br /> 5 <br /> p) STA� US OF SEWER CHARGC:S: <br /> BON�, DISTRICT fOOTAGE — <br /> N, S, E, W <br /> NOTES <br /> SEdNER CONNECTION CHARGES <br /> YEAR TRUNF: S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: <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: <br /> DATE � 1� <br /> APPROVAL: _ DATE <br /> O.�.IB <br />