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, <br />•EPARTMENT OF COMMUNITY DEVEL�ENT SERYICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS TYPE _ <br />(1) 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 <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(8) EXIST. __ WATER SERVICE, APPI.IC�TION NO. <br />(C) APPROX. LOCATION <br />CHART ___ <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR 10 L'UILDING PERMIT IS- <br />SUANCE FEET DRIVEW�Y(TYPF) F <br />h <br />(7) STATUS OF SFWER CHnRGES: <br />BOND DISTRICT FUOTAG[ _ _ — _ _ _ <br />N, ti. I , \1' <br />NOTES <br />/N�HCt S' ��{Oi"� O�n L-.dS�' /1�at 2'a�i S'f [l,tta<C �. �� }� (VC4c• !�i ��,� S� <br />2�� S�- �to �ZauP4µc\ sf ����,« � � Qo..,t oE g�s,�,;,, S_ S4�s <br />�o l�c�sU.�,.�t _ C°�t���- ��c.���. <br />51=b1'[R Ct)N�ti'Ll�' It)ti (�I1;1i:� �i � <br />Y[AR TRUNK :+ <br />L�TERAL <br />TOT�L CONNf'Ci ION CI IARGLS 5 <br />SEWFR Pf.Kh11T fLl � <br />C��TCH [3ASIN PERMII' FEE <br />IOTAL SEWER PERMIT FEES S <br />(7) MONTHL� SLWERCHARG[5: <br />S� WER CONSTRUCTION TRUCK S <br />LATERAL <br />SEWER SERVICE <br />�PPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INfO COMPILED BY: <br />APPROV�L: <br />CHART <br />DATE <br />DAT[ <br />