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DEPARTMENT OF COMMUPIIT,' DEVELOPMENT SERVICES <br />BUILDING PERMIT �NFORMATION <br />ADDRESS �� �D , TYPE Cx-C-�+.�d'. <br />(1) BUILDING PERMIT FEE � <br />(A) PLAN CHECK FE[ <br />(2) PLUMBINC <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO dUILDING PERMIT ISSUANr_E <br />(A) TO BE [i�TERf�/iINED BY BLDG INSPECTOR _ INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT ?O BE PAID PRIOR TO BUILDING PERMIT IS- <br />`�UANCE FEET DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF �,;WER CHARGES: <br />[30ND _ DISTRICT <br />NOTES <br />FOOTAGE <br />N, 5, E, W <br />S'eWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMI �E <br />CATCH 8A51' ;:RMIT FEE <br />TOTAL SFW �EhMIT FGES <br />p) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S <br />S <br />S <br />5 <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILFD 6Y: <br />APPROVAL: _ _ <br />9.D)9 <br />CHART <br />DA7E <br />DATE <br />