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DEPARTMENT OF GOMMUNITY DEVELOPMfNT SERVICES <br />gUIL��ING PERMIT INFORMATION <br />ADDRESS TYPE _ <br />(1) BUILDING PERMIT FEE $ <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) 7RIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY (TYPE) S <br />b <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, W <br />IJOTES <br />SEWER CONNECTION CHARCES <br />YEAR TRUNK 5 <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />SEWER PERMIT FEE $ <br />CAT�H BASIN PERMIT FEE <br />T(:�TAL SEWER PERMIT FEES $ <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRi1CTION TRUCK b <br />LATERAL <br />SEWFR SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPRGV,4L: <br />91�79 <br />CHART <br />DATE <br />DATE <br />