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_ ENGINEL',RING DEPARTMENT <br />B[JIL7ING PIRMIT INFOfUtATION <br />ADDRESS 1�����_ j -- ,:'S,`=;` �_'. �-� -;T� <br />' ' TYPE � .i- ' <br />1) BUILDING PERMIT FEE � <br />(A) PLAN CHECIC FEE <br />'��� �'���� �"' $ //z, ce: <br />2� W $ �7a•C-t. _ <br />F <br />ATER SERVICE TO HE PAID SEFORE BUILDING <br />PERMZT IS ISSUED <br />(A) TO BE DETERMINED �tY PLBG. INSP.•� '- INCH <br />(R) EXIST. WATER SERVICE, APPL. N0. <br />(C) APPROX. LOCATION l �� �'. ;'. 1 � f � �, �;� <br />�EE�H S%,t;;�,�f- CHART �Y- //G' <br />3) llRIVEItiAY PERMI'l TO BE PAID BEFORE BUILDING <br />PERDIIT IS ISSUED ?_-`� FT. �c�,/. p�W (TYPE) <br />4) STA'7'US OF SEWER CHARGES: TOTAL* <br />BO::D�__ DISTRICT .�� _ FOQTAGE �-- - <br />N, S, E, W. '- <br />�1P5':�`'. .. <br />SEWER CC:7STRUCTION: <br />:LWER SERVICE: <br />SIDE <br />SEWER CONNECTION CHARGES: <br />YEAR ��� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMST FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERPSIT FEES <br />TRUNK <br />LATERAL <br />$ ��-C'��.C%�"� <br />M/�e� � �I, <<. <br />/L l�4. '��i't'�? <br />/� :j � C'(� <br />s /Z. SG' <br />5 .�-`;�" <br />��E", ��Z, <br />OR 'i'EE IN TH£ MAIN: : • �� , ,�Jf%� S . <br />, �� - <br />— ---- ^ CH <br />I':r':> C��..�,:LED BY: '`� a ` i �/ -`-- <br />�.. �-..t,�_,f �' _G.'.�i, <br />RC�'IE�i: <br />!-' <br />PROJECTS DIVISION <br />APPR:'�,�.:"�?,: <br />/ , � <br />� E,`JGINF.ERI G DEPARTMENT <br />DAT <br />DATE <br />/ � <br />DATE!v /�J l7� - -- --- <br />