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. . I • y` <br /> ,. � ��� <br /> �NGIN�2ING AtJD COtfl�tUt7ITX SEIiVICI� ` � � � <br /> - ➢UILbING PERl4IT INCORMATION <br /> . . .. _ � " 6j.tGit�. <br /> ADDRL•'SS TYPE <br /> 1) IIUILDING PSR:lIT FEE �, Q�Q, OU $ �73 �O(� <br />�' (A) PLAt� CII�CK FEE $ � B '�� <br />� 2) PLUMBING � ' $ 2 0• � � <br /> 4 . <br /> b 3) MECIiANIC1�L S ��� �U <br /> 9) WAT�R SER\�7i:E TO 9E PAID B�L'OR� BUILDING <br /> I ' <br /> PE1:AfIT I3 ISSUF.D ' S 2��G�- ' �p"_ <br /> • �3�0s - � � �� P-L��f StlPr��..�r <br /> (A) TO, IIE D�'1'ERMI:IED BY PLIIG. INSP. �INCH � <br /> (R1 �XIST. • WATER SERVICE, APPL. NO. =s=.�1 <br />� (CI APPROX. T�OCATION CO�� G-• L -%-'." ',-,,:! l`-///� i.�J <br /> / � � C9r� � U� CEiART G'-``-� 7 � <br /> . �ip7�/'�% `_ �_� _ _ <br />� �}.�i i:,��v <br /> 5) DRIVFtt•1AY PERf12T TO BE PAID IIEFORE BUILDING <br /> � • - PER'dIT IS ISSUED 2/ FT. CO.VG D/Vl (TYPE) S ID� SU <br /> I 6) STAiUS OF •SE[�ER CHARGES: TOTAL $ <br /> • BOND ^-- DISTRICT � FOOTAGE �-1�',L�Tj1�:,�,��' . <br /> . . t�, � S� E. Vi. <br /> � , <br /> � SEiVER CONNECTION CHARGES <br /> NOTES • , <br /> � Y�AR . TRL�_�_C $ <br /> � • LATERAL $ <br /> . • �TI�L CO�r1ECTI0N CHARGE$ <br /> �b�� (! �f �.,�.G�v -- <br /> SE�',E PER}4IT EE $ �jl�• C' iJ <br /> CATCH BASIN PERCtIT EEE $ <br /> TOTAL SEFIER nERt4IT FEES$ �� � �'G' <br /> 7) !fONTHLY SEI•]�R CfIARGBS: <br /> SG?�ER CONSTR[1CTION: TRUNK $ <br /> • � LATERIII, $ <br /> S�'.dER S�RVICE S L , -'L) <br /> AFPP.O;C. LOCATION OF SID� SrWE3 QP. TEE IN TEfE AtAIN: 'I %� /�//�i/J i,Nr'� /� � <br /> (p�-,- C c�� �� r� (�'l� �� T�,- � % ' : ., _ :ri, ;-: : �� �-=r l <br /> _ , � . <br /> C �' I`i.. �_\ `,-�. �i1'I'r. , �i :: i�£_t-_r' CtIART -�-�' _ r_,�,-�_ ;_- <br /> INI'O COPIPILED F3Y: DA'CF. <br /> API�I:OV Ai,: nnT� <br /> � <br />