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' ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS 3 � �-�S �> �� r � F' �. TYPE �. F, jl , <br />1) BUILD::NG PERMIT FFE 3',''�"' ��� $ !��/. �Z.� <br />(A) PLAN CHECK E'EE $ / :3 - UU <br />e <br />1) WATER SERVICE '!'.'�, SE PAID BEFORE BUILDING L �,oJ <br />PERMIT IS ISSUED $ � - -.�a <br />� k` <br />(A) TO BE D�TERMINED BY PLBG. INSP. �4 INCH /� �'7� �y�� <br />/� ;'��-I-f- �. BL> <br />(D) EXIST� — WATER SERVICE, APPL. N0. — �'LG�7, I��C��' <br />i �' , <br />(C ) APPROX. LOCATION ( o � IN. • i , j"d . f /:_ - �I' L � /• M.i� aJ <br />' ' W, CHART S-22 7 <br />�,0. 2 from S. CornrP <br />3) DRIVGWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED Z S FT. i� D/W (TYPE) S /Z� S� <br />C �� R� TOTAL" $ <br />4) STATUS OF SEWER CHARGES: <br />BOND LL DISTRICT 3 O FOOTAGE ----- <br />N, S, E, W. <br />?i -3U -/� O -O:") <br />U/lT1 <br />�, VI/R�2 5E2UICC LINF <br />N��DS T'o BE F'16�0 <br />L oc q,-Ea (,vor slM�:� a� (1{� <br />ER CIiAF2GE5: <br />SEWBR CONSTRUCTION: <br />SEWER SERVICE: <br />APPRO?I. LOCATION OF SIDE SEWER OR <br />� � � � �-- ,d- <br />ZNFO COMPILED BY: <br />SEWER CONNECTION CHARGES: <br />YEAR �7L TRUNK <br />VAI��Y IEl1J E L(� <br />TOTAL' C�NNEC��N��1{RGE <br />SEWER F'ERMl'P FEE <br />CATCH EASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />TRUNK <br />LATERAL <br />$ /Q�,00 <br />$ -� <br />$ / y5-• ev <br />$ 30.00 <br />$ — <br />S 3o.oJ <br />$ /.iS <br />S -- <br />$ Z • �iD <br />IN THE MIiIN: 7'Ny�'rem S•N/. <br />.5 -o- .to <br />UATE / - z - <br />REV I EId : DATE <br />PR J TS DIVZSION / <br />APPROVAL: DATE�//� <br />ENGINEERING DEPARTMENT <br />* This total must be paid before building permit is issued. <br />