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� <br /> DEPARTMEHT O� COMMUNITY DEVELOPMENT SERVICES <br /> BUILDING PER11�SiT INfORMATION <br /> ; <br /> ADDRESS TYPE <br /> ('I) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE l80�OU <br /> (A) TO BE DFTERMINED BY BLDC INSPECTOR INCH �3 - � "F.��.-7��-s� <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. _._ �"�'-C'`�� <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING FERMIT IS- <br /> SUANCE � s FEET C.6�,�sC� DRIVEWAY(TYPE) S � z-• �L' <br /> $ <br /> (7) STATUS OF SEWER CH,IRCES: <br /> BOND �� DISTRICT � ' FOOTAGE Z�U <br /> N, 5, �,' W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR ��Z TRUNK S ��L4 • ��V <br /> LATERAL <br /> TOTAL CONNECTION CHARGES � �'� ' �v <br /> SfWER PERMIT FEE S �p �Z�'�� <br /> CATCH BASIN PERMIT FEE � �Zd•��' <br /> TOTAL SEWER PERMIT FEES f � 4��'�� <br /> (7) MONTHLY SEWER CH,�RGES: <br /> SEWER CO��STRUCTION TRUCK 3 <br /> LATERAL <br /> SEW[R SERV;CE <br /> APPROX. LOCATlON OF SIDf SEWER OR TEE IN THE MAIN: <br /> CHART <br /> I <br /> INFO COMPILED BY: DATE <br /> APPROVAL: _._ DATE <br /> 41�79 <br />