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� <br />BUILDING PERMIT INfORMATION <br />ADDRESS TYPE _ <br />(1) BUILDING PERMIT FEE b <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECH.4NIC�L <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY f3LDG INSPECTOR INCH <br />(B) EXIST WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERA1IT TO B[ PAID PRIOR T�� BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S <br />5 <br />p) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />NOTES <br />FOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARC;ES <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 <br />S <br />S <br />S <br />3 <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: _ <br />INFO COMPILED 8Y: <br />APPROVAL: <br />CHART <br />DATE <br />DATE <br />