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n <br />� ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />r�Dr�ss Z 3, � q� B M n d; s o n S�l- TYP� Co •., .,.r <br />� 1) I1ilILDZNG PERMIT FEE 33�<�-Z6,,9v <br />S /39.0� <br />(A) PLAN CHECK FEF: S �9�� <br />2) S�lATER SERVICE TO BE PAID PFFORE BUILDING <br />PERMIT IS ISSUED $ Z DQ, OG� <br />(A) TO BE DETERMINED BY PLBG. INSP. �6� INCH I`�� �l� v` v <br />(B) EXIST. .--- WATER SERVICE, APPL. N0. <br />(C ) APPROX. LOCATION __� �' m q; n q e_' N�� ¢� <br />CHART $ / 7 <br />3) DRIVE�VAY PERMIT TO BE PAID BEFORE BUILDTNG <br />PERhfIT IS IuSULD /.¢ FT. C6nc D/W (TYPE) <br />zi <br />TOTAL* <br />4) STATUS OF SEWER CHARGES: <br />BOND�� DISTRICT 2� FOOTAGE 8(� <br />N, , E, W. <br />�-Z/- /�s- p/ <br />SEWER CONSTRUCTION: <br />SF.WER CONNECTION CHARGES: <br />Y�AR �7 G TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />TRUNK <br />/ �,� <br />$ �-�-- <br />s 4�7.0� <br />LO$,GO <br />�^'.-.� <br />$ .�D <br />$ 33� <br />$ S 4.� ��c�o <br />$ s0. 00 <br />$ _' <br />$ 3o.00 <br />$_--- 1.20 <br />LATERAL $ ;,e n <br />SEWER SERVICE: $ ���[„�P� <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE D1AIN: 8�� 'r»oin -"T" /Si � <br />..i ./' u.i ./ ' 1 ... w .. .. / _ " <br />INFO COMPILED BY: �����G'' <br />2 -^....�.-=-� �' <br />R�VIE:J: <br />APPROVAL: <br />PROJECiS DIVISION <br />ENGINE�R.ING DSPARTMENT <br />L�� <br />DHTF <br />i• This total must be paid before building permit is issued. <br />Q <br />