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� <br /> ENGINEERING DEPARTMENT <br /> BUILDING PERMIT ZNFORMATION (�U/Y�� <br /> ADDI2ES5� �i(i -� �" I'���'TT � �E�v� TYPE �UGTI��9M/�LY <br /> 1) BUILDING PERMIT FEE ll' �� ELZr�- `��� $ �17� ��� <br /> (A) PLAN CHECK FEE $ / -/, �� <br /> 2) WATER SERVICE TO BE PAID BEFORE BUILDING „ /��y� �j <br /> PERMIT IS ISSUED � $ GR'�l/•C�f./ <br /> (A) TO BE DETERMINED BY PLBG. INSP. INCH �y(Z, _. " QO <br /> (B) EXIST.� WATER SERVICE� APPL. N0. �D�C . <br /> (C) APPROX. LOCATION..�/ � �;.Q}� �i��t f�Y. !�T E f/�• IO� �L <br /> / .� <br /> � lj "C_i 'j'tfsi.-r ,30 ' S . � ��E�HART /'�/�l0 <br /> 3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br /> YERAfIT IS ISSUED -----FT. D/W (TYPE) $ -�-- <br /> i4LLEY /�PP2o/i-Cf-! To P�snk��� �'��A TOTAL* $ <br /> 4) STATUS OF SEWER CHARGES: <br /> BOND - DISTRICT — FOOTAGE <br /> N, S, E, W. <br /> NOTES SEWER CONNECTION CHARGES: <br /> � YEAR �� TRUNK $ -----` <br /> �-rp R,� �,l/!4 T-E 12 � — <br /> LATERAL $ <br /> ��'��^��� � � 8� �'� J � TOTAL CONNECTION CHARGE $ <br /> �/ dy c��� ��� �� - <br /> �TA>'✓� O/J P�����'� SEWER PERMIT FEE $ � O J <br /> ��BC�%% CATCFi HASIN PERMIT FEE 7 $ /'��� _ <br /> / ' . <br /> TOTAL SEWER PERMIT FEES $ � <br /> 5) MO::TEILY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> iRUNK $ �— <br /> LATERAL $ � <br /> S�WER SERVICE: $ " <br /> APPROX. LOCATION OF SID SEWER OR TEE N THE IN: .S, lpZ� E. O�M/� � <br /> ,�' �t�.f S. ��'� G�,�...,c �ws� ..,� <br /> �n � C.ErV'IE� fi .5 N. T 3 CHART � � <br /> INFO OM I EI� l': i .t .7 ATE 2- �7-,�+ <br /> � [�� • <br /> � REVIEW: ,,z ' 'I L' �� ��� DATE <br /> PROJECTS DIVISION <br /> APPROVAL: �(��{�_ ./� DATE� — <br /> ENGINEERZNG DEPARTMENT <br /> � This Y.ot�il must h� �a ;rt h�fnr� ti��: i.a; .... .....-.�.. � . .- . _...._a <br />