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� <br /> � DEPAGIMENT i0F COMMUNITY DEVEiOPMENT SERVICES <br /> �tUILDING P�RMIY fNF�RMATION <br /> TYPE <br /> ADDRESS $ _ __ <br /> (1) BUILCING PERMIT FEE <br /> (A) PLAN CHECK FEE _ <br /> (2) PLUMBING <br /> (3) MECHANICAL , <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR <br /> (B) EXiST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMI�� TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> FEET _ _DRIVEWAY(TYPE) S <br /> SUANCE �--- $ <br /> (7) STATUS OF SEWER CHARGES: FOOTAGE _ <br /> BOND DISTRICT <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHP.RGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEt $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PER�viIT FEES $ <br /> (7J MONTHLY SEWER CHARGES: TRUCK $ <br /> SEWER COIdSTRUCTION <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: - <br /> — — CHART <br /> DATE <br /> INI-O COMPILED E3Y: DA7E <br /> APPROVAL: <br /> 9.149 <br /> I <br /> . � <br />