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� - <br /> DEPA1tTMENT OF COMMUNITY DEVELO►MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE - <br /> � (2) PLUMBINC <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDC INSPECTOR _ INCH <br /> (B) EXIST. WRTER 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 /> 3 <br /> (?) STATUS OF SEWER CHARGES: <br /> BOND DISTRiCT FOOTACE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK 3 <br /> LATERAL <br /> TOTAL CONNECTION CHARCES S <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERrv11T FEES 3 -. <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK S <br /> I LATERAL _ <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> I � <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9�L79 <br />