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. , - <br /> FNGINEERING DEPARTMENT <br /> " BUILDZNG PERMZT INFORMATION <br /> ADDRESS (✓3 �� � IJ/�D�'7L��YH � TYPE�vi7�f a '�.�_ <br /> / <br /> 1) BUILDING PERMIT EE �����I� ��/ $ �� , �)L% <br /> (A) PLAN CHECK FEE $ L.y�����- <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING �-'� ;; - - <br /> PERMIT IS ZSSUED <br /> (A) TO BE DETERMINEL� BY PLBG. INSP. _ INCH h;d �� � �75,'��j l <br /> (B) EXIST.__ WATER SERVICE, APPL. N0. � ��S --- �- fi� <br /> - ��„ -_��, <br /> (C) APPROX. LOCATION � v �� G����'��jTO.•"Y . <br /> CHART � S-�� � <br /> 3) DRZVE�JA`t PERMIT TO BE PAID BEFORE BUILDING <br /> PERDIIT IS ISSUEp�S� FT. QQ�cy. DjW (TYPE) $ 2�. �0 <br /> TOTAL* $ <br /> 4) STATL'S „QXrSEWER CHARGES. <br /> BOtiD 1_L DISTRIGT Z� FOOTAGE �G _ <br /> N, S,�E,I W. <br /> �uG. {�3a 9- o�rr-�� <br /> � NOTES SEWER CONNECTION CH.ARGES: <br /> YEAR �i TRUNK �� 3�3.2 Q <br /> r.�z�xas. 'S�i3/^� S ..�` D. �f ' <br /> , TOTAL CONNGCTION CHARGE E.,�-: $ ,��.3. � <br /> SEWER PERMIT FEE $ ,3,0 QQ <br /> �/QGi��� v <br /> CATCH BASIN PERMIT FEE $ y"-- ' <br /> ! TOTAL SEWER PERhSIT FEES $ -X/• OO <br /> 5) ::�::'::l�i SEItiER CHARGES: — <br /> SE�tiTER CONSTRUCTION: � <br /> TRUNK $ �, 9� <br /> LATERAL $ .3• GJ�j � <br /> SEWER SERVICE: Q $ �:�ti;�{f� <br /> APPROX. TOC�}ON OF SIDE SEWEF� OR TEE IN TNE MAIN: S.S. /�i � �, o� M.f� <br /> �a� bi''OR.l�u�ay ,� O�GPi�n �a-'L ,� • /�'r .5.�„v�t <br /> � CHART <br /> INFO CO?:PIL.ED B : _ � � DATE /---��"7.� <br /> !/ <br /> REVZEh': DATE <br /> PROJECTS IVISION <br /> APPROVAL: _�� DATE 6�,� /6 <br /> �._._�E`2v�GInEERI::G DEPART.t'1�:7T <br />