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� <br /> ENGINEERIt1G DEPART:iENT � <br /> , HUILDING PERMIT INFORb7ATION <br /> FIDDRESS_��' Q�� L' o ( ,Rj� TYPE_Ca i.•, y� <br /> 1) BIJZLDING PERidIT FEE $ <br /> (A) PLAN CHECK FEE $ <br /> 2) tAATBR SERVICE TO BE PAID BEFORE BUILDItdG ,�. <br /> PER2dIT IS ISSUED $ :- — <br /> (A) TO DE DETERI3I2dED BY PLBG. INSP. �_ INCH <br /> (B) E�IST.j � �9ATER SERVICE, APPL. N0. ��C ;ij <br /> � <br /> (c) APPROX. LOCATION 6 " c• /. zt� ` �' , ¢' ¢ o� 3 f� � '" <br /> � CIiART s - s� <br /> 3) DRIVEi�iAY PBRDIIT TO IIE PAID BEFORE IIUILDING <br /> PLRI�IZT IS ISSUfiD 2'�oFT. Gnnc D/W (TYPE) $ 3U . �O <br /> ,,/ TOTAL* $ <br /> 4) STATUS OF SEWER CI�ARGES: 1►0�?�� �n4� <br /> BOND —' DISTRIC'" ^""" FOOTAGE <br /> N� S, B, W. <br /> NOTES SEWER CONNECTI0:7 C!IARGES: <br /> P95� dNt Waftf b +�� ` �z7. 9J � YEAR '7G TRli::K .� ` <br /> � �.- <br /> �� _� I.ATBRAL $ ` <br /> TOTAL CONi��CTION CHARGE $ ""- <br /> �;.�u�� � y�L - <br /> � SES4ER PERMIT FEE S 30, od <br /> . CATCH BASIN PERh:IT FEE $ �— <br /> TOTAL S�WER PER6fIT FEES $ SO . �� <br /> 5) ��10NTHLY SER'ER CHARGES: <br /> SSWER COtiSTRUCTION: <br /> TRUNK $ — <br /> LATERAL $ -' <br /> SEI•7ER SCRVIC�: S �p�f�rPd <br /> nPPROX. LOCATION OF SIbE SE�JE� OR TEE IN TFiE l:AIN: /D ���4,n / 3 � W_ o f � __ <br /> Of C_old� Je -- "T" a4a 5.5. 1'O S• P�< oCFU�RT� Z 30 - 29 'S <br /> INI•'O COMPILED BY: DATE Q` / � -7(� <br /> RCVIEW: DATE I <br /> PROJECTS DIVISIOY <br /> APPROVAL: DATE <br /> ENGI[dE�RING UEPI�RTt•SENT <br /> * This total must he paid before building permit is issued. <br />