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ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS <br />TYPE <br />S 1 r <br />1) BUILDING PERMIT FEE <br />¢di�' <br />>/$ <br />(A) PLAN CHECK FEE <br />-1 <br />n <br />2) WATER SERVICE TO BE <br />PAID BEFORE BUILDING <br />Q�7 <br />PERM:CT IS ISSUED <br />e 3�. <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />ham,. <br />nn <br />(B) EXIST. WATER SERVICE, APPL. NC. <br />(C) APPROX. LOCATION CP,r 2 3 <br />>r W Ot 2Iu> ��u� �t_Dmat. CHART �T 5% <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED FT. D/W (TYPE) <br />S <br />TOTAL* $ <br />4) SmATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, W. <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK $ <br />{ LATERAL $ <br />TOTAL CONNECTION CHARGE $ <br />SEWER PERMIT FEE Nan <br />CATCH BASIN PERMIT FEE ✓' G $ <br />TOTAL SEWER PERMIT FEES $ Ca' <br />EX CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: Me' `r" f r wNz t:, Ct- tJ�A- uc. <br />REVIEW: <br />PROJECTS DIVISION <br />APPROVAL: _ <br />ENGINEERING DEPARTMENT <br />DATE <br />DATE <br />DATE <br />