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� <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES '' ' ._ <br /> BUIL7ING PlRiV11T INFrJRM�1T10N <br /> i <br /> ADDRESS iYPE <br /> ('1) BUiLDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> �— (3) MIECHANICAL <br /> (4) �M1'ATER S[RVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br /> (A) 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 BE PAID PRIOR TO BUILDINC PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPE) S <br /> 5 <br /> (7) STATUS OF SEWER CHARGES: <br /> 80ND DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE � <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEbVER PERMIT FEES S <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK b <br /> LATERAL <br /> SEVVER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: - <br /> ^ ._ CHART <br /> I I NFO COMPI LE D BY: DATE <br /> ' APPROVAL: <br /> DATE _ � <br /> 9 1�79 <br />