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� <br />DF►A�TMENT OF �OMMUNITY DEVELO�MENT SERVI�ES <br />BUILD�NG PERMIT INFORMATION <br />ADDRESS � •2 � ���<; �� ��• TYPE �� • . � <br />(1) BUILDING PERMIT FEE �J/� 0 oO °�' S ���� �- <br />(A) PLAN CHECK FEE ���-�-• <br />(2) PLUMBING J� <br />� D -� <br />� <br />(3) MECHANICAL aa <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILf?iNC PERMIT ISSUANCE ,F � <br />(A) TO BE DETER�AINED BY BLDC INSPECTOR �� INCH <br />(B) EXIST. WATER SEitVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAIU PRIOR TO BUILDING PERMIT IS- � <br />SUANCE FEET DKIVEWAY(TYPE) S � � � <br />S <br />(7) ST�ITUS OF SEVy�R CHARCES: <br />BOND �,I�i _ DISTRICT FOOTAGE . <br />NOTES <br />G�� �' � y- �� <br />� <br />N, S, E, W <br />SEWER CONNECTION CHARGES a� <br />YEAR TRUNK S � � � <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 />TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />5�04 <br />s — 33O <br />�V - <br />s 30 <br />s <br />30 ` <br />S <br />CHART /� �3-.� 8 � � <br />DATE <br />DATE <br />