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-. <br />DEP/.RTMENT OF COMMNNITY DEVELOPMEWT SERVICES <br />BUIL[)ING� PERti11T INFORIbI�►TION <br />ADDRESS TYPE <br />(1) BUILDING PERMIT FEE $ <br />(A) PLAN CHECK FGE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOft TO BUILDINC PERMIT ISSUANCE <br />(n) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) QRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) $ <br />S <br />(7) STATUS OF SEWER CHARCES: <br />BOND DISTRICT <br />NOTES <br />FOOTAG E <br />N, S, E, W <br />��2��rL � � ��-� v: <br />c0j'� c� c� � - �3 0 <br />�-z� ( - GI.� .�j S �Erari�9-c�� <br />�� (U'�Z� _ _'- i <br />, � _ _ <br />SEWER CONNECTION CHARCES <br />YEAR TRUNK <br />LAT�RAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMII' FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S <br />S <br />3 <br />Ej <br />TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />I�1F0 COMPILED BY: <br />APPROVAL: <br />9-1•79 <br />f <br />. F � . �_ . , . - � <br />CHART <br />DATE <br />DATE <br />e <br />� � r," t`y,. <br />r ;.c;: <br />�: <br />i <br />i <br />