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'\ <br />, <br />- ENGINEERING QEPART'MF;YT <br />HUILDING PERMIT' SNFORMATIC�N <br />�wDtiE: S__._ �_�i z z r� h r� ' <br />o n /� v � ` TYPE C �„� <br />1) BO':LDI,1G PERMIT FEE /ZC�; C�L"'(�_ � <br />(A1 PLAN CHECK FEE $ �'.�C�, C7(� <br />2) kATF;R SERVICE TO BE PASD BEFORE BUILDING $ 2 I �(�— <br />PF.RMI'f IS ISSUED <br />$ — — <br />iA1 TO GE DETERMINED BY PLBG. INSP. —��— <br />INCH � � 3 � � <br />iB) E:iIST.1 h'1�-H `j, ov <br />;�WATER SERVICE, APPL. N0. �3 q ���d���� �o_ / i <br />(�) APFROX. P 6'ra�J <br />f n lcf" � t� 3 z_ (I 3Y� o r <br />LOCATION � b �i' u, �.� <br />��� bi�k�e,t,.� %'f 3► a�32 (�fi'���576) CHART N-8 <br />31 =••-::;�AY FERMIT TO BE PAID BEFORE BUILDING —�— 3 � <br />• • •-:: ; IS ISSUED ;-_r?`_; FT. <br />C.. ,o o D/�'1 (TYPE) S <br />. �w� <br />•1) `_'.'.: _; �F SEA'ER CHARGES; TOTAL� 5 <br />� • �__� DISTRSCT — FOOTAGE <br />..�e * �l, P,� c�_ <br />N, S, E, W. <br />,----- — NO:ES '— <br />� � _ ,� . . ���__,:r_{'-,-,:c/��sr�d <br />f � � � � <br />j C:g� iYl. ✓'ectr �(��e� ? <br />t . <br />`'11y �• ��TI • F SIDE SEWER OR TEE IN THE MAIN: "� " <br />�s`� I✓ o�__ ��` � , A I so <br />-_u if_�N _'LSS' N o f r,ti, N u S Pt � 1, l� C,'' �—_ <br />'. _� '--'.D Bl : ss"'�n • n t �, R/A nCHART g y� <br />.. �.cu�nloLJ: <br />SE'�ti'ER CONSTRUCTIUN: <br />SEWER CO.TNECTION CHARGES: <br />YEAR '�C TRUNK <br />LATERAL <br />TOTAL CON:�ECTIUDI CHARGE <br />SEk'F,R PERMIT FEE <br />CATCH BASIN PERMIT FEEro c� <br />TOTAL SEWER PERA;IT FEES <br />S <br />S <br />S <br />$- - � o 02� <br />S_�-p= <br />$�—_ <br />TRUNK $ <br />LATERAI, $ <br />� <br />SEWER SERVICE: M a¢-o-rr� <br />Ov 0 F�' ��ee �� $— 'a^""° <br />I? i:'.' _ .... . <br />PFOJECTS DIVISION <br />APp� • . . <br />�� /�P,o�9v,�C���.�a����'. <br />DATE <br />