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` <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVItES <br /> BUILDING PERMIT INFORMATION <br /> t � <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT 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 INSPECTOR 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) S <br /> S <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 /> LATERAL <br /> TOTAL CONNECTION CHARGES � <br /> SEWER PERfv11T FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> SEWER SERVIi E <br /> APPROX. LO�ATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> , INFO COMPILED BY: DATE - <br /> APPROVAL: DATE <br />