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- '_1 <br /> � <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br /> BUiLDING PERMIT IN�ORMATION <br /> ADDRE55 TYPE <br /> (1) BUILDING PERMII' FEE S <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 DETERMINED BY BLDG INSPECTOF: INCH <br /> (B) 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 DRIVEWAY(TYPE) � <br /> $ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE ' <br /> N, 5, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGFS S <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TftUCK S <br /> LATERAL <br /> • SEWER SERVICE ....� <br /> APPROX. LUCATION OF SIDE SEWER OR TEE IN 'fHE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> }1�79 <br /> ! <br />