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�, <br />DEMRTMENT Qf COMMUNITY DEVEIOf`MENT SERVICES <br />BUILDING �ER:IAIT INFORMATION <br />ADDRESS ,0� �n-�� f'" ' TYPE = ���p% �l" ""� <br />(1) BUILDING PERMIT F $ <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 BLDC INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID 1'RIOR TO BUILDINC PERMIT IS- <br />SUANCE rEET DRIVEWAY(TYPE) S <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, 5, E, W <br />NOTES <br />SEWER CONNECTION CHARGES <br />YEAR 1�RUNK S <br />LATERAL <br />TOTALCONNECTION CHARGES b <br />SEWER PERMIT FEE b <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES $ <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK $ <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MA!iv: <br />INFO COMPILED BY: <br />APPROVP:• <br />9-1�79 <br />CHART <br />DATE <br />DATE <br />