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�l.� !�.�. � L � <br /> Et7GINEERING DHPARTMENT <br /> SUZLDING PERt•fIT INFCRMnTION <br /> ADDRESS q—� Z�CO ��P_f_1 N C.rTc� I �'f�l—�`� TYPE '-`.7= I?- <br /> i _. <br /> 1) BUILDIIdG PERMIT PE� ?C.�, Co4'?-, $ .� �o <br /> (A) PL11bT CHECK P�fi $--L , o� — <br /> 2) S•iATER SERVICE TO BE P11ID BEFORE SUILDING ,��. <br /> PERh1IT IS ISSU�D $ /�7.�T1•` <br /> (h) TO IIE D�TEIth1IN�D BY PLBG. I11SP. 3� INCH �' �'� �� <br /> NkGr� FGt, mv <br /> (II) EXIST. S9AT�R S�RVICE, AP1'L. N0. ' <br /> (C) APPRO}:. LQCATSODI <br /> Cfi1�RT <br /> 3) DRIVBI9AY PER24TT TO BE PAID IIEFOR� IIUILDSNG <br /> PrR�lIT IS ISSUED �� FT. ISS(�f� D/W (Tl'PE) $ �2 •�'� <br /> T07�AL* $ <br /> 9) S',:;TUS OP SEWER CHARGES• \ <br /> BO\'D� DISTRICT� FOOTAGE <br /> N, S, E, W. <br /> NOTES SEWER CONn'ECTION CH1',RGHS: <br /> YEAR TRUNK $ l95 � � <br /> 3 -'lQ- Zs9 =o'a TERAL $ 3/Z• sv <br /> . T0�'AL CON�CTION CIiARGE $ �7•S� <br /> SEI+TER PLRh1IT FEE $ �� �U <br /> CATCIi IIASIN P�RbfIT FEE $ <br /> n <br /> TOTAL S�{�'ER P�RI,;IT FEE5 $ � �• � � <br /> 5) r:�`.�;l:L1' SEIsER CHAP.G�S: -- --_ <br /> SEj�R CONSTRUCTION: <br /> TRUNK $ ��I S� <br /> LATL'F2AL $ �Z • Z S� <br /> SEWER SERVICE: $ �• S l� <br /> APPR�S. LOC:�TION OF SIDE SEf��ER OR TcL IN Tii� MAIi�I: <br /> ciir�iz�r <br /> IAFU C.�>:PII;ED IIY: DATE <br /> RE V I E i�: DATE <br /> PROJECPS DSVIS.LON � <br /> APP!:Jl',1L: __ DATE <br /> L'NGIN1iF.R1NG 1)EiPA12'ff9LNT � <br /> , � <br />