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I <br /> ' . ENG:CNEERING DEPARTMENT <br /> ' BUILDI.'�TG PERMIT INFOFtMATION <br /> /i ./ �p ,/ t �� . �� /��N .�1���� Q�r ���f�qN�v.iIYJ�tl r 4�'�� u <br /> ADDRESS " �>,. �,�", YPE ' :pv <br /> 1) BUILDING PERMI•P FEE �� � '�� $ ��� ' �U <br /> (A) PLAN CHECK FEE $ `�"l� <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING ? �� <-� , <br /> PERMIT IS ISSUED �'� $ a �` <br /> // 'r�, <br /> (A) TO BE DETERMINED IIY PLBG. ,INSP. ��_ INCH __„;'��� � <br /> (B) EXIST. WATER SERVICE� APPL. N0. , <br /> . .—�, <br /> .w p. /1 r`')Y"'l � �,-� <br /> (C) APPROX. LOCATION .`���-� - � - - <br /> �pe p 'f%"f` Ec ,t''. ;rF ''r c� ;�,rq``�":'� CHART ��,'� m'�I.m� <br /> � r_ .. _ . , _�`'.:._ .�� <br /> 3) DRIVEWAY PERMIT TO BE PAZD BEFORE BUILDING ' <br /> PERMIT IS ISSUED,'� FT. ��.,.1�''�,�;` D/W (TYPE) .. $ ��"'` - � — <br /> �A � TOTAL* $_ <br /> 4) STATUS OF_�$EWER CHARGES:,.y T,,_, �� -. � - <br /> BOND �!`_� DISTRICT :.;a:ti<- FOOTAGE '-= . � - ��) <br /> N, S E„ <br /> �-�s� � y7�- o / �49 Zq <br /> NOTES SEWER CONNECTION CHARGES: ,, , ��`��., <br /> �� YEAR �y(`;"� TRUNK $ .30p <br /> �cere isa �4 T"r�hk Sau,�« La�ra� S _ _ <br /> S�wel� 2GYv55 S, or'�-���.. TOTAL COI�I CTIQN C'�RGE $�� <br /> f' `f"tii3 ProOev -�, � �� ��"Z2� <br /> I 1 <br /> SEWER PERMIT FEE ; <br /> CATCH BASIN PERMIT FEE � $ �''���� ��� <br /> TOTAL SEWER PERMIT FEES $ �D��. ��°' - <br /> 5) MONTHLY SEWER CIiARGES: `,ll <br /> SEWER CONSTRUCTION: �d `' � �l ,_ <br /> TRUNK $ ,.���� <br /> �a .• �J59 <br /> LATERAL $ �....—r:�%'��.'1 -- <br /> SEWER SERVICE: $���'��`�� '`°''^`'`� <br /> �.. /� p�� f� <br /> APPRj OX. LOCATION OF' SIDE SEWER OR TEE IN THE MAINp `,� �. G f� � . 0��+° . <br /> �4' !�':j. .�. ,.� ..t; ;� i:..fl �+� �'�9f�..+�',7!�+e?.(ot� S k -'e`•,a lI� �i0. �2�' .n•'.'.t <br /> /.. CHART t .5�� ./'�e•-.d �, <br /> INFO COMPI ED BY q < - : •�7' � .�;<^..A��n.,. ..8�' DATE ��-• I�-' �Il� <br /> � }I}��` � .N .: <br /> REVIEW: DATE <br /> �� U��✓ �� PROJECTS DIVISION <br /> �!�� �� DATE � � � �� <br /> NEERING DEPARTMENT , <br /> * This total must be paid before buildinq permit is issued. <br />