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DEPARIMENT OF �OMMUNITY DIEYELOPMCtiT StRVIC•c5 <br /> � UILDIIVG PERMIT � I� �C)R.��►ATION <br /> ADDRESS TYPE <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE — <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT 1SSUANC[ <br /> (A) Tl7 BE DETERMINED 8Y BLDG INSPECTOR INCH <br /> (H) EXIST. W.4TER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY P[RMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br /> SUANCE FEET DRIVEWAY (TYPE) � <br /> S <br /> (7) STATUS OF SEWER CHARGES: <br /> QOND DISTRICT F()OTAGE <br /> N, S, E, W ; <br /> NOTES <br /> l <br /> � <br /> � <br /> SEWER CdNNECTION CHARGES <br /> YEAR TRUNK � <br /> LATERAL - <br /> TOTAL CONNECTION CHARGES � — <br /> i <br /> SEWER PERMIT FEE $ — <br /> CATCH BASIN PERMIT FFE <br /> TOTAL SEWER PERMIT FF.E� g — <br /> - � <br /> (7) MONTHLY SEWEfi CHARGES: � <br /> SEWER Cc1�JSTRUCTION TRUCK $ — <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: — DATE <br /> �-,.» <br /> � <br />�,►_ ' ' -- <br />