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_. ;,� . <br /> DEPARTMENT OF COMMUNITY DEVELOPMENT SENVICES <br /> BUILDING PERMIT INFORMATION <br /> TYPE �. F• I�, <br /> ADDRES'� Z,�3 .D O <br /> (1) F3UILUI�G PERMIT FEE � �j0� (9C9C9 � � $ <br /> �- <br /> (A) ?LAN CH[CK FEE �� .Oa <br /> (2) PLUMf31NG �z ��� <br /> (3) MECHANICAL Q-DD•�C� <br /> (4) N�ATER SERVIC[ TO DE PAID PRIOR TO BUILDING PERMIT ISS� NCH : <br /> (A) TO DE DETERMINED f3Y BLDG INSPECTOR . <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION ._--- — <br /> _CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDRIVEWAY(TYPE) S ZO . DU <br /> SUANCE _�-FEET <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> ���-� ,tJo-r ,evAtun��� <br /> AT Tt,a-c.s T�r-�cE . <br /> SEWER CGNNECTION CHARG[5 <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES $ <br /> (7) MONTHLY SEWER CHARGES: $ <br /> SEWER CONSTRUCTION TRUCK <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> DATE <br /> INFO COMPILED liY: DATE <br /> APPROVAL: _ <br /> s ea <br />