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� <br /> DE►ARTMENT OF COMRIUNITY DEVELO►MENT SERVICES <br /> BUILDING PERMIT INFORMATION <br /> 1 <br /> ADDRESS TYPE \ <br /> (1) BUILDINC 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 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 BUILDINC PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> S <br /> (7) STATUS OF SEWER CNARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGFS b <br /> SEWER PERMIT FEE 5 <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5 <br /> (7) MONTHLY SEWER CHARCES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> ! SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> � � <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9�1-79 <br />