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-` <br />DIPAR. FNTor COMMUNITY DEVELOPMENT �ICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS 00 _TYPE <br />(1) BUILDING PERMIT FEE (�✓�1 '6 <br />(A) PLAN CHECK FEE 5-1135 Due <br />(2) PLUMBING g¢'DU <br />(3) MECHANICAL 06.�5?> <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �'Uy <br />(A) TO BE DETERMINED BY BLDG INSPECTOR :�14 -_ INCH <br />(B) EXIST. WATER SLRVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHAR1 <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR 10 BUILDING PERMIT IS- <br />SUANCE <br />FEET DRIVEWAY (TYPE) $ 'go-o ) <br />(7) STATUS OF SEWER CHARGES: <br />BOND 2V,' DISTRICT FOOTAGE <br />NOTES <br />d,2o q84-£3:3 <br />N, S, E, W <br />SEWER CONNECTI N CHARGES <br />YEAR 8 TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) Mt INTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />9.1.79 <br />$ 330,00 <br />$ — =i3QOU <br />$ .5o ,00 <br />$ <br />ij <br />CHART <br />DATE <br />DATE <br />z <br />0 <br />--1 <br />m <br />., t. <br />Z <br />0 <br />m <br />