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r- <br />i� <br />r <br />L <br />DE�ARTMENT OF COMMUNITY DEVELO�MENT SERVICES � , <br />BUILDING PERMIT INFORMATION <br />ADDRESS TYPE _ <br />(1) BUILDINC PERMIT FEE E <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) ��IECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED 8Y BLDG INSPECTOR _ INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) 3 <br />3 <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT <br />NOTES <br />FOOTAGE <br />N, 5, E, W <br />SEWER CONN[CTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CA7CH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT fF.ES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />5 <br />E? <br />S <br />S <br />TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />4/79 <br />CHART <br />DATE <br />DATE <br />