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,� _ <br /> DFMRTMENT OF COMMUNiT1'DEVFLO►MENT SERVICES <br /> BUILDlNG PERMIT INFORMIATION <br /> ADDRE55 1O1 � � 7��'��/ci r� ST � S�' TYPE <br /> (1J BUILDING PERMIT FEE a _ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRII�R TO BUILDING PERMIT ISSUANCE <br /> (Al 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 SE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE _FEET DRIVEWAY(TYPE) 3 <br /> 3 <br /> p) STATUS OF SEWE� CHARGES: <br /> BOND DISTRICT FOO�AGE <br /> N, 5, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES 5 __ <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 3 <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 3 <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION vF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE _ <br /> I <br /> 9�1.79 <br />