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ENGINEERING DEPARTMENT <br /> HUILDING PERMIT I*IFOftNll1TION <br /> ADDRESS � -� ..L� •��{-:^x u� .�. �- TYPE �� -��.. . <br /> 1) BUILDING PERMIT FE^ �� ��''� ' �' S I G7 �0 <br /> (A) PLAN CHECK FEE $ y._ �U <br /> 2) 4iAiER SERVICE TO BE PAID BEFORE BUILDING • <br /> PERMIT IS ISSUED $ (�� , .8 v <br /> (A) TO BE DETERMINED IIY PLBG.' INSPo JI�I- INCH 'Q`��T �G%. o0 <br /> NJE�N / 9 . o a <br /> IB) EXIST. � '�ATER SERVICE, APPL. N0. ' <br /> . _ (C) APPROX. LOCATION c,vr,-rt-v -7-,� ( �yvf�� -r�F_ � � <br /> /� • d`C' =.� � �.r�.c�. �I.'T CHART �yI ZS � <br /> . 3) D�iVEI•7AY PERMZT TO BE PAZD BEFORE BUZLDING <br /> PEB:•1I9` IS ISSUED !��� FT. GC;� '�. D/W (TYPE) $ �2 i�� <br /> 77- Z� . .. TOTAL* S �QI• 00 <br /> 4) S�nTUS OF SE��TER CHARGES: <br /> • SO:CD _= DISTRICT� FOOTAGE <br /> N, S, E, W. <br /> ?;- /�— �'.�� —p O <br /> NOTES • SEWER CONNECTION CHARG£S: <br /> . , <br /> YEAR �_ TRUNK $ � lbO. �U <br /> /��� f�/.%�.�•:_�; �Z <br /> � ��TERAL $ <br /> C�/,lJl�i �- :�-�.'ut�t?. G�!LJu' �, �/. �f <br /> • . TOTAL C IdN/CHAP.GE $ /�O. C90 <br /> J ��v i y' CF" G��.7 '1� • <br /> . SEWER• PERASIT FEE $ ,�Q_ Do <br /> . �- �/Lo/ �� l�-�s=�77 <br /> , , CATCH BASIN PERMIT FEE ' $ <br /> • TOTAL SEWER PERA±IT FEES $ ?�Q. 00 <br /> 5j ::�:��::i,Y SEIsER CHr1RGES: <br /> SEWER CONS'PRUCTION: <br /> � . TRUNK $ O . � Q <br /> I.ATERIIL $ <br /> SEWER SERVICE: $ �Z .�jT� � <br /> APPRJX. LOCATION OF SIDE SESa�R OR Tc^E IN THE MAIN: C/J TF�'�I< <�/Jj�/),ny �Q � <br /> N �� �E �ae.��z C-oT 2.Q � .�s�/r�,� �-.�-' �r � <br /> CHART (i1— 3 —2�1—'i <br /> INFO �J?:PILED BY: DATE <br /> REVIEii: DATE <br /> ' PROJECTS DIVISION <br /> AFPROI'aL: ' DATE <br /> . ENGINCERING DEPARTMIiNT <br /> _., <br />