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b <br />� <br />� <br />DEMRTMENT OF GOMMUNITY DEVELO�MENT SERVICES <br />BUILDIN�G PERMIT INFOItMAT10N <br />ADDRESS TYPE <br />(1) BUILDING PERMIT FEE a <br />(A) PLAN CHE(:K FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE �JETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT Tn BE PAID PRIOR TO BUILDING PERMIT IS- <br />SU::I•i�E FEET DRIVEWAY(TYPE) S <br />$ <br />(7) STATUS OF SEWER CHARGES: <br />g(�Np DISTRICT <br />NOTES <br />fOOTAGE <br />N, S, E, W <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />1'OTAL SEWER PERMIT FEES <br />(7) fv10NTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />3 <br />b <br />S <br />3 <br />TRUCK E <br />LATERAL <br />SEWER SERVICE <br />APPROX. L�CATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />?1•79 <br />CHART <br />DATE <br />DATE <br />v' <br />