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l <br /> ,. <br /> � <br /> /�OD�l�S> l-' fL�vio ��s �Y Ass�C�Nc_�� (�n2 j����Fi' ) <br /> - F.dGINEERING DEPARTMENT <br /> BUILDING PERMIT INFORMATION <br /> ` ADGI2ES5 �SD�� �V �/l� IL��N Gvf�;-� TYPE�l�� �-�A�1/,N � <br /> 1) BUILDING PERIdIT FEG $ <br /> (A) PLAN CHECK r�G S <br /> 2) WAT�R SERVIC� TO BE PAID BEPORE BUILDING <br /> PERMIT IS ISSUED $ '— � <br /> (A) TO II� D�TERMINED BY PLBG. INSP. INCH <br /> i/ �� 3 S� <br /> (B) EXIST._� '�1ATER S�RVICE� APPL. N0. � <br /> (C) APPROX. LOCATION /✓EA2 N � C��-UG=�2 O.tJ E. <br /> � C�S/,t�0 � `) CHART ul ��7 <br /> 3) DRIVEWAY PERMIT TO BE PAID HEFORE BUILDING �(� �Cf 7i �O <br /> PERb1IT IS ISSUED /-2S FT. ��jyqi rD/W (TYPE) $ � I <br /> I - 3S TOTAL* $ <br /> 9) STATUS OF SEWER CHARGES: <br /> y`{E- BOND DISTRICT FOOTAGE <br /> N, S, E, W. <br /> NOTES SEWER CONN�CTION CHARGES : <br /> YEAR �_ TRUNK $ /'�AY� I•JG <br /> �` E��C 1 STl�G S�uJ�/'�- LATERAL s PpYl.r>E� <br /> � ,q ccov�uT ,3 3S �{76 0/ <br /> TOTAL CONNECTION CHARGE $_-'e� — <br /> 6_O <br /> SE�4ER PBRMIT FEE (�L7��) $ <br /> / 00 <br /> CATCH BASIN PERMIT FEE S (o O �� <br /> �/ pJ <br /> TOTAL SES']ER ?'ERMIT FEES S / D <br /> 5) h10NTHLY S�WER CHARGES: <br /> SE�dER CONSTRUCTION: <br /> TRUNK $ <br /> �4?� � �,v c� - fl �� T 3 � � �f 7� � 1 <br /> LATERAL S <br /> SEWER Si:RVICE: $,�F 1��t�7_ <br /> 11PPROX. LOCATION OP SIDE SEWER OR TEE IN THE MAIN: (=�C 1 5'T I/�v S/ D � <br /> � � ! 2 <br /> - S _ - usE /' <br /> _f ' (J e r. � CHART - I�_2�3- <br /> INFO COMPI Ell BY: QZG.� 0-.-.J— DATE ? 7� <br /> REVIEW: DATE <br /> PROJECTS DZVISION <br /> APPROVAT: DATE <br /> ENGINEERZNG DEPARTMENT <br /> * This total must be paid before builc�.ing pertsit is issued. <br />