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ENGINEERING. DEFiiRTMENT <br />BUILDING PERMIT !NFORMATION <br />ADDRES.i 4-p 4e (P.. y: ZZo'd � py TYPE <br />1) BUILDING PERMIT FEE (C9, coo,0 <br />(A) PTAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED $ /L7� OU <br />I+ 8>= • o0 <br />(A} TO BE DETEE2dZ2dED BY PLIIG. INSP. INCH <br />B) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION q G Z— LL("'pPr)t ifs' <br />r�I- �-- C);= CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PER'•iIT IS ISSUED Z / FT. /_1!/JL1 D/W (TYPE) <br />TOTAL* <br />4) STATUS OF SEVER CHARGES: <br />BOND DI.`RICT ! FOOTAGE <br />N, S, , W. <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK <br />TOT .L CON ECrI N CHA4?GE <br />SEWER PERMIT FEE <br />1r �. <br />CATCH BASIN PERMIT FEE r <br />_� TOTAL SEWER PERAiIT £EES <br />5) ::J:: .ILY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />APPROX. LOCATION OF SIDE SE'/ES OR TEE/IN THE MAIN: <br />__ <br />L� to . CH <br />INFO CO>IPIL•ED BY: <br />REVIEW: <br />PROJECTS DIVISION <br />APPROVAL: <br />ENGINEERING DEPARTMENT <br />$ <br />tJ0- cpv <br />S <br />i•kZ <br />l(� i�nr. �� � Cam• '� cU <br />st <br />TS-Z <br />DATE <br />DATE <br />DATE <br />