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DEPARTMEN7'O'f COMMUNITY DEVELOPMENT SFRVICES <br /> BUILDlNG PERMIT � hFORIV6ATION <br /> ADDRESS _- iYPE <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> : (2) PLUMBING � <br /> (3) MECHANICAL - <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMIN�D BY BLDG INSPECTOR INCH <br /> (8) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION _ <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET _DRIVE�NAY(TYPE) S <br /> f <br /> J <br /> (7) STATUS OF SEWER CHARGES: . <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERA�. <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 /> • .� <br /> SEWFR SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> _ DATE <br /> APPROVAL: <br /> 41�79 <br /> ,_ �_' <br />