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f <br /> � <br /> DEI'AkTM4ENT OF COMMUNITY DEVELOPMENT SERVICES " `y <br /> � IJ � L�IN� PERMIT INFORMATIO�N �a <br /> ADDRESS TYPE � <br /> (1) BUILDING PERMIT FEE $ � <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC + <br /> � (3) MECHANICAL j <br /> (4) WATER SERVICE TO BE PAID PRIUR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR INCN <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOC,4TION <br /> CHART <br /> (5) DRIVEWAY PERh11T TO BE PAID PRIOR TO BUILDING PERMIT IS- � <br /> SUANCE FEET DRIVEWAY (TYPE) S <br /> . <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTP.ICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> I <br /> SEWER CONNECTION CHARGES <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 /> I� APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> � INFOCOMPILEDBY: DATE <br /> APPROVAL: DATE <br /> 5�1�79 <br />� ' _•_ . _ . _ _ __ _ ' <br />