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DE�,.RTMENT OF COMMUNITY DEVEIOPMEn f SERVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS I 4T� a 1.5��!'(�,�1� TYPE <br /> (1) BUILDING PERMIT FEE g <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 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 CHARCES: <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 S <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE <br /> iOTAL SEWER PERMIT FEES S <br /> (7) MONTHLY SEWER CIiARGES: <br /> SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: . <br /> CHAftT <br /> INFO COMPII.ED BY: DATE <br /> APPROVAL: DATE <br /> 9 1�79 <br />