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pE�ARTMENT OF tOMMUNITr DE��O�MENT SERVICES <br />BUII.DING PEP.MIT 1NFORM�TION <br />�__ TYPE <br />ADDRE55 S <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBINC <br />(3) MECHANICAL <br />�4) �IVATER SERVICf TO f3E PAID PRIOR?O BUILD!NG PERMIT ISSU NCH <br />(^) TO BE DFTE�tMINED BY BLDG INSPE:.TOR _�- <br />(61 EXIST. _ _ WATER SERVICE, APPLIC^TlON NO. <br />��� �ppitOX. LOCATION - <br />CHART �--�'- <br />(5) DRIVEWAY PERMIT TU �EFEETD PRIO��DRIVEWAY(TYPE) S <br />SUANCE ._�� 5 <br />(7) STATUS OF SEWER CHARGE5: FOOTAGE .�.--- <br />BOND .�-�,STRICT ---- N 5, F. W <br />NOTES <br />5EWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAI <br />TOTAL CONNECT{ON CH�RGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEY.�ER PERMIT FEES <br />p) MOi�THLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S <br />f <br />S <br />S <br />TRUCK �' <br />LATERAL <br />SEWER SERVICE <br />IIPPROX. LOCATION OF SIUE SEWER OR TEk IN THE MAIN: <br />, INFJ COMPILED BY: <br />� /1PPROVAL: <br />si-rn <br />CHART <br />D.�TE <br />pATF. <br />V <br />__ � <br />