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`I <br /> DE►A�TMENT OF GOMMUN Tr DEVElO►MENT SFlVICES <br /> BUILDING PERMIT ONFCIRMlATlOiV <br /> AC7RESS �4�5 ��� L�. S.�. TYPE _ �•��. <br /> (1) BUILDING PERMIT FEE ¢I� �� E 2 �• 5b <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC �� <br /> (3) MECHANICAL �Z2�SD <br /> (4) WATER 5ERVICE TO BE PAID PRIOR TO BUILUING PERMIT ISSLIANCE �0'�� <br /> (n) TO BE DETERMINED 8Y BLDG INtiPECTOR 3���NCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (S) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S �Q'�� <br /> � <br /> (7) STATUS OF SEWER CHARCES: <br /> BOND �DISTRICT FOOTAGE <br /> N, S, E, W , <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR gs TRUNK s 33O' � � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES 5 �-�'DO <br /> SEWER PERMIT FEE � _30-00 <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FI�ES $ 3�-�U <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b — <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPIlED BY: DATE <br /> APPROVAL: DATE <br /> 5•B4 <br />