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DEtARTMENT Of COMMUNITY DEVEIO�MENT SERVICES <br /> BUILDING PERMIT IhFO�MATION <br /> ADDRE55 TYPE _�[.-^ � ��- <br /> (1) BUILDING PERMIT FEE �{S, 300 =� S a6S _ <br /> (A) PLAN CH�CK FEE �� . <br /> (2) PLUMBING ' aa ^ <br /> (3) MECHANICAL � � • �' <br /> (4) WATER SERVICE TO BE PAID PRIOR TO Bl.'ILDINC PERMIT ISSUANCE _._. 6 0 �' <br /> (A) TO BE DETERMINED BY BLDG INSPECI'OR ?L,�— INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART _ <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- so <br /> �� � <br /> SUANCE FEET DRIVEWAY(TYPE) S _ <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �–DISTRICT FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES Q� <br /> YEAR ��" _TRUNK 3 � �� l <br /> LATERAL - <br /> TOTAL CONNECTION CHARGES 3 �� � � <br /> a� <br /> SEWER PERMIT FEE b __,._ .3 O � <br /> CATCH BASIN PERMIT FEE - <br /> TOTAL SEWER PERMIT FEES b � � <br /> (7) h1QNTHLY SEWER CHARCES: :- <br /> SEWER CONSTRUCTION TRUCK 3 � � � ��`�� <br /> LATERAL <br /> SEWER SERVICE l'� �� �� <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: - <br /> CHART—,� i'1 _ ,� �. � - <br /> INF(� COMPILED BY: DATE <br /> APPROVAL: DATE <br /> 9-1�79 <br />