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ENGINEERING DEPARTMENT <br /> BUILDING PERMIT I*1FORMATION <br /> ADDRESS 4-C6 Z�I- •�7,,yc �,, TYPE cJ� �. <br /> 1) BUILDING PERMIT FEE S�� ��C7 ' � S I �'-7 �p <br /> (A) PLAN CHECK FEE $ 3,Sv <br /> 2) WATER SERVICE TO B� PATD BEFORE BUILDING <br /> PERMIT IS ISSUED s �� � ,pc� <br /> (A) TO BE DETER2dINED BY PLBG., INSPe 3�¢ INCH ��'4� �L�' �� <br /> M'Ez':�/ / 9, o a <br /> (B) EXIST. • WATER SER��ICE, APPL. N0. ' <br /> • . (C) APPROX. LOCATION W�-�-tS_7n 'Q� �_ ����� ,�,�.- " � <br /> /V, b� � F l.dd / .��' / CHART �I Z�✓ � <br /> . 3) D�IVEWAY PERMIT TO BE PAID BEFORE BUILDING <br /> PE2+1IT IS ISSUED � FT. Gd,f9G D/W (TYPE) $ /2 i�i� <br /> 77- L� .. TOTAL* $ �I• � <br /> 4) S:tiTUS OF SEWER CHARGES: <br /> • ����D _= DISTRICT�_ FOOTAGE <br /> N, S, E, W. <br /> 3- //- c�3� -oo <br /> NOTES • SEWER CONNECTT_O.v CHARGES: <br /> YEAR �� TRUNK $ lbO. �v <br /> ��� �f���r �� <br /> C!/�(17� r� .`�.�E1UG�Z+ OlJF�L �' // ry �►L $ <br /> TOT COAN�,C ION7CFiAP.GE $ /O�. C'�O <br /> � �n � r D,� Gtrr ''L D, <br /> , SEWER� PERI�fIT FEE $ �Q- po <br /> ' . .. CATCH BASIN PERI�fIT FEE $ <br /> • TOTAL SEWER PERAiIT FEES $ $Q. C�C) <br /> 5) ::,'�„��::LY SE[yER CHiaRGES: - <br /> SES�TER CONSTRUCTION: <br /> • • TRUNK $ O. � (� <br /> I.ATERAL $ <br /> SEWER SERVICE: $ i� ,t�� � <br /> APPRJS. LOCATION OF SIDE SEH1�R OR TLc^.�IN�THE MAIN: L,Qr.-,L•tlt. i1/J/>2�t7y /n � <br /> /t-/ �F �E CL�e.tlElL [,Cj7- ' .�!°f'2�,� � �cr �E_� <br /> CHART /- " -7cj_.; — <br /> INFO �0?:PILED BY: � DATE <br /> REVIEii: <br /> DATE <br /> ' PROJECTS DIVISION <br /> APPRO�'aL: ' DATE <br /> . ENGIN�ERING DEPARTMENT <br /> -a <br />