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" ENGINEERING DEPARTMENT <br /> BUILDING PERMIT IN�ORMATION <br /> � ADDRESS .� 7_ 3 8 Fc rssy` /7ri✓B� TYPE .%.:'�.F <br /> � 1) BUILDING PERMIT FEE l�OO,E,.�• � C /S 7 � <br /> (A) PLAN CHECK FEE � $ 7 '�� <br /> ' i'-!Y> �I.7• UO <br /> ' 2) WATER SERVICE TO BE PAII+ BEFORE BUILDING MC-Lcf !O-D� <br /> � PERMIT IS 7SSUED o� I " �r �7 27� $ 'LOO , 00 <br /> 1A) TQ BE DETERMINED BY PLBG. INSP. �/� SNCH <br /> �:.; � t;iCLST. - i7ATER. SERVICE� i`'P7�. N0. �'� <br /> (C) APPROX. iGCATi:7ti _. .�`. _: �y` �!' . %i sul /� �� F r. <br /> , �'G "C./. 2o'N - <br /> � S�;ds % — /S';:.';,:._—N�. .------ -- CHAR /-'�1� � � 7 . <br /> 3) DRIVEWAY PEP^1IT TO Hr: 1'?,':•_'� BLFUI2E PJILDING <br /> PERMIT IS ISSUED �_ FT. ASF'/-/. D/W (TYPE) $ �7 �' <br /> TOTAL* $ <br /> 4) STATUS OF SEWER CHARGES: A, <br /> BOND DISTR3CT -- FOOTAGE /V���?'}I�,tJt7 _ <br /> N, S, E, W. <br /> NOTES SEWER CONNECTION CHARGES: <br /> � ,F/o Sru�e� or ura�c� avc.��cb/r YEAR �74 TRUNK $ ^ <br /> nert'f� +rt� Forrsf' Dt'r ✓e - LATERAL $ -�' <br /> Nlaw�,�Q re �d Ort. � �� Sc°Wei^ TOTAL CONNECTION CHARGS $ — <br /> L0.�Ya�, '���N � E. Vle�.l Fid�'�- SEWER PERMIT FEE $ .�O �- <br /> 3 P.P��� ��z'e '���/,' ro CATCH BASIN PERMIT T'EE $ —� <br /> 8t; /d/d;7�� h�1iYl7'1�./'. ,�"O�I/ <br /> /A//�G O� E, /,£G/.P✓,QfL'.U.Q TOTAL SEWER PERMIT FEES $ J�O ��� <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> TRUNK $ � <br /> LATERAL $ � <br /> SEWER SERVICE: $ Z, � <br /> APPROX. LOCATION OF SIDE SEWER (1R TEE IN THE :+IAIN: �, I/;�W r��d� <br /> , � N p/� <br /> �rire c(nSrtf' � �SD /�/, o _ <br /> CHART t-/ -3� - 2Q-�; <br /> INFO COMP:CLED BY: �� _.T i? __ DATE ` - 2_ ^ �h <br /> REVIEW: DATE <br /> PROJECTS DIVISION <br /> APPROVAL: /�`I����Y DATE �/�6 <br /> �,� EN EERING DEPARTMENT <br /> * This total must be paid before building permit is issued. <br />