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I <br />DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS TYPE__ <br />(1) BUILDING PERMIT FEE O D 0 no <br />5 --��_- <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECH ANICAL <br />(4) WATER SERVICF TO BE PAID PRIOR TO BUILDIN , PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR_ X�/_ INCH <br />(B) EXIST. _WATER SE VICE, AP .ICATION I <br />(C) APPROX LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO B ILDING PERMIT IS- 5_ <br />SUANCE /s FEET-���DRIVEWAY(TYPE) b <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, W <br />NOTES <br />SEWER CONNECTION CHARGES <br />YEAR Q TRUNK <br />'.ATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE S 30 <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES 3 30 <br />(7) MONTHLY SEWER CHARGES. <br />SEWER CONSTRUCTION TRUCK 3 <br />LATERAL <br />SEWER SERVICE <br />APPROX. I OCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />CHART L /.,2 - -2F- <br />INFOCOMPILED BY: DATE <br />APPROVAL: DATE <br />91 79 <br />