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, �p��.�.� . <br /> y��� J� <br /> �� �v., <br /> 1+cir� <br /> vJ�'. <br /> ,•� '� <br /> . Y.�Y1� .Y . <br /> , ..irt p..: 3 <br /> �J`� . <br /> � 5�.�� <br /> t . � �. .r,:,,},y�.'.;_ <br /> ' � ENGINEERING DEPARTMENT <br /> BUILDING PERMIT INFORMl�TION <br /> ADDRESS � �i'•2�- ��Q,Q/�L(�A� TYPE_S�i�i</J• . <br /> 1) BUILDING PERMIT FEE 7jd, ¢ZD. DO $ �� . O17 <br /> (A) PLAN CHECK FEE . s�-�--- <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILUYN� • <br /> PERMIT IS ISSUED $ 2QQ,,Oa <br /> '�� OU <br /> (A) TO BE DETER2dINED SY PLBG. INSP. `3 INCH �� ���p p <br /> (B) EXIST. • WATER SERVICE, APPL. N0. ' <br /> . , (C) APPROX. LOCATION �`��`= ti,1,�, � �Pr�Ror� ( l ���- <br /> �AS1 �r- EC�ac�.l.�,.�� CHART /� '��iLrL <br /> . 3) D3IVE�9AY PERMIT TO BE PAID BEFORE BUILDIN; �/ <br /> PER�ITT IS ISSUED�� FT. GO/C/G D/W (TYPE) $ �G•�� <br /> TOTAL* $ ��OO.OD <br /> 4) S:nTUS OF SEA*ER CHARGES: <br /> • SO:�D DZSTRICT FOOTAGE�( G}��TflE�t//� <br /> N, S, E, W. <br /> ' ..�;i`<':r.�."::all:i:-' <br /> NOTES • SEWER CONNECTION CHARCES: <br /> YEAR TRUNK $ <br /> • � LATERAL $ <br /> • � , TOTAL CONNECTION CHARGE $ � <br /> � SEWER• PERMIT FEE $ �d- �U <br /> • , �, CATCH BASIN PERAIIT FEE $ l'^✓ • �v <br /> • TOTAL SEWER PERh1IT FEES $ 4-O. v`u <br /> 5) ?.J:��i:LY SE[iER CHARGES: ' <br /> SEWER CONSTRUCTION: � <br /> . ' . TRUNK $ ----_ <br /> LATERA.L $ -- <br /> SEWER SERVICE: $/(!/,�.�� p � <br /> AAP� PRJ\. LOCAITION OF SIDE SEWER OR TEE ZN THE MAIN: �T�� l�PG20X 17�i�- <br /> ��I O� M�-1 I�T II.�TicX^�L7/O�U O� lit�t��� � �T T2,(�'E1�.:/J4Uh.Y � <br /> 1�"I-rt l "'a`r> 2 " .<.lLl /.e / CHART �. — /-Z -� <br /> INFO CD?:PILED SY: DATE i z /3 i J� G <br /> REVIEi�: DATE <br /> ' PROJECTS DIVISION <br /> APPRG\'�L: DATE <br /> , ENGINGERING D�PARTMENT <br /> i <br />