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IENT OF COMMUNITY DEVELOPMENT tVICES <br />DEPAA <br />BUILDING PERMIT INFORMATION <br />__TYPE <br />ADDRESS $ <br />3Lo!• O a <br />(1) BUILDING PERMIT FEE %�� ' Bf� PA 7 , <br />(A) PLAN CHECK FEE 20.Oo <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SEF.VICE TO BE rAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR _ix- INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C, APPROX, LOCATION <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PEr%.AIT IS- <br />FEET DRIVEWAY (TYPE) $ <br />SUANCE $ _ <br />(7) STATUS OF SEWER CHARGES: FOOTAGE _-- <br />BOND �-DISTRICT _---- <br />N, S, E, W <br />NOTES <br />SEWER CONNECTION 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) MONTHLY SEWER CHARGES: TRUCK <br />SEWER CONSTRUCTION <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE: MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />S-sue.&/cj <br />$ 3D •00 <br />$ 3D B <br />$ <br />CHART <br />DATE <br />DATE <br />9-1-79 <br />