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` <br /> DEPARTMF�T OF CCMiMUNSTY DEVELOPMENT SERVICES <br /> BU : L� iNG� PERIVlOT INFORMATION <br /> ADDRESS __ TYPE — <br /> (1) BUILDING PERMIT FE� $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBI�:G <br /> (3) MECHANICAL <br /> (41 WATER SERVICE TG 4E PAID PRIOR -'O BUILDING PERMIT ISSUANCt _ <br /> (A) TO 8E DETERMINED BY E3LDG ItJSPECTOR INCH <br /> (8) EXIST. WATER SER\'ICE, APPLICATION NO. _ <br /> (C) APPRGX. LOCATION __ _— — <br /> CHART _ — <br /> (S) DRNEWAY PERMI7 TO BE PAID PRIOR TU [3l�ILDING P�RMIi 15- <br /> SUANCE FEET __ _DRIVEWAY (TYPE) 5� <br /> $ _ <br /> (7) STnTUS OF SEb1'FR CHARGES. <br /> dOND DISTRICT __ FOOTAGE <br /> N, S, E, ��� <br /> NOT[5 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK 5 <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _ <br /> SEWER PERh11T FEE $ - <br /> CATCH BASIN PERMIT FEE — <br /> TOTAL SEWER PERMIT FEES g <br /> (7j MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LATERAL <br /> S[WER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN TFIE MAIN: —. <br /> CHnRf _ <br /> INFO COMP�I CD BY: _ DATF _ — - <br /> APPROVAi- ----- - --- ---. GATE _ <br /> 91 79 <br />