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��p"` <br /> ' _ i. ' <br /> • I 4'l � <br /> -_ ENGINEERING DEPARTMENT <br /> • 1�ilILDING PERMIT INFORMATION • <br /> .-" <br /> A[DRF.SS �%j I // � � / 1._� r <br /> — � �'• 'lYPE �. f /? . <br /> 1) BUILB:;)G Fckt�I7 YEE ? ;;'� ;1nG <br /> (A} PLAN CHECK FE£ � $ /2/: D� <br /> $�;._ <br /> 2) WATER 5ERVICE TO BE PAID BEFORE BUILDING <br /> PEFMIT IS ISSUED <br /> S zoo, oa <br /> (A) TU Bf: TJETERMINED PY PLBG. INSP. � INClI ' '<:'_{� .oc <br /> �-.,:' ,: ; , /, G�c:� <br /> (B) EXIST. WATER SERVYCE, APPL. N0. <br /> (C) APPROX. 7ACATION 1'� � �, o f' � e {� E Gl�, D r <br /> 6 �L^' �• " C//I�• CFL4AT - 2 91 <br /> 3) J:t�':E;iaY PERMIT 'Pn BE PAID BEFORE BUILDING <br /> ?i:,:�:i: IS ISSUED Z S FT. A c„6 p�W (TYPE) $ <br /> _��s�`__ i z . s� <br /> TOTAL* S _ f -",�f S <br /> '�) �:=::: � OF ;iEA'�H CHARGES: <br /> - -�•?�� _ llZS^FICT � FOOTAGE �• <br /> N, S, E, W. <br /> ; DIOTES SEWER CONNECTION CHARGES: <br /> il. FIr¢ M�/dY��� �� YEAR ' 7G TRUNK S 41.5Z� <br /> �a-�ar�ere wr`f-� �7r��,��a.y �10 (�.,'� Ga LATEttAr. $ <br /> � • TOTAL C0:7NECTION CHARGE $_��_ <br /> � <br /> � SEWER PERMIT FEE $ -so. 00 <br /> I <br /> � CATCH BASIN PERMIT FEf $ <br /> � — <br /> TOTAL SEWER PERA;IT FE.?S $ 3G,, ,� <br /> �i :: -'• .. _: SEItiER CHARGES: _ <br /> SEA'ER CONSTRUCTION: <br /> TRUNK $ p y v <br /> LATERAL $ -- <br /> SEWER SERVICE: $ 2 �� <br /> AP" C• . . ^',TIU� OF SIDE SEWER OR TEE IN 7NE MAIN: <br /> . S. y . i of , � � �� F . - <br /> • lP(, %� - G ' L� e • L <br /> M�H. � �n� �orn�r . CHART s — i2- 29—a <br /> _...' _' " ._��D BY: _ �� � �' ` _ DATE S�iU �i � <br /> P.!".':c... . <br /> - DATE <br /> PROJECTS DIVISION <br /> AP?� .�., . , ���� � <br /> .,.,.o /24�.6 <br /> '��L'� <br />