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ENGINEERZNG DEPARTMENT <br /> SUILDING PERMIT INPORM]\TION <br /> ADDRESS �-f' / �J Z �LQGJ� `! ' '°`'.�'T' L�/'✓�. TYPE ���L <br /> 1) BUILDING PERMIT FEE 3Lt� 7Z0• �� ' $ ¢ OU <br /> (A) PLAN CHECK FEE $ � _ <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED $ �Q• pU <br /> (A) TO BE DETERMINED BY PLBG.' INSPa 3/4 INCH ��►� 2�� o° <br /> n�jf�// ?. Oo <br /> (B) EXIST._ WATER SERVICE, APPL. NOe � , <br /> . , (C) APPROX. LOCATION <br /> CHART S- �Z�I-�j <br /> 3) D3iVEWAY PERMIT TO BE PAID BEFORE BUZLDING � ,�� <br /> PE:2:�IIT IS ISSUED � FT. ,��f� D/u1 (TYPE) $ <br /> TOTAL' S �8'�-��� <br /> 4) S�nTUS OF SEWER CHARGES: <br /> BO:dD � DISTRICT� FOOTAGE <br /> N� �S� Ea W. . <br /> wt��. `�'�tr c,.c�,...stc-,-, �,� tairr{ti�.�t,.y.� tur� l�FI 48r�� � ��-nc.k�.e.sT <br /> NOTES SEWER CONNECTION CHARGES: ��� �P���N � <br /> YEAR �� TRiJNK $ IOO - �-L <br /> � 3 —/�— D3 f- �o a � /� � s �v 4�. °�. <br /> , TOT�GCO2����2Y CfiF.F�GE S ¢�D - BO <br /> _ SEWER PERMZT FEE $ �O. O O <br /> CATCH BA$IN PERMIT FEE S <br /> TOTAL, SEWER PERBIIT FEES $ ��' �� <br /> 5) ?:,�,::�iiLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> . TRUNK $ C�• Z O <br /> LATERAL $ 2,I L7 <br /> SEWER SERVIC£: $ 2 '`-�� ' <br /> APPRJ.l'. LOCATION OF S2DE SEWER OR TzE IN THE MAIN: Cm.U,�/�Ti�lc <br /> , <br /> � "D �2f-G?LY ! I-.+-r��, �/ll-� �T 4--�"�r�a `�T � �";�•C./acr -t:"'c:�k'E'::�: l_t,.a-Y� <br /> ' CHART U—>>�-'Z,q-� <br /> INFO CJ}:PILED BY: DATE <br /> REVIEt�: DATE <br /> PROSECTS DIVISION <br /> APPRO�'aL: DATE <br /> ENGINEERING DEPARTNIENT <br />