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• Y O►MENT SERVICRS <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS __ TYPE <br /> (1) BUILDINC PERMIT FEE s <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC "'� <br /> [- (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT 155UANCE � <br /> (.4) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPRO?" �.00ATIOV <br />� _— CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT 15- <br /> SUANCF FEET DRIVEWAY(TYPE) S <br /> S _ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWEK CONNECTION CFiARGES <br /> YEAR TRUNK f <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL � <br /> SEWER SERVICE ' <br /> t APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: , <br /> I <br /> CHART <br /> ' INFOCOMPILEDBY: DATE <br /> APPROVAL: DATE <br /> ai•�v <br /> � <br /> �_ <br /> - � <br />