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� ENGINEERING DEPART��NT <br />'�,� BUZLDING PERMIT INf'ORMIITION <br />ADDRESS �� �J � �. /i�li :[-'�/J/�;. TYPE ���, . <br />1) BllILDING 4,��RtdIT FEE ¢/ �OD" �U — — $/� f+ D� <br />(A) PLAN �;iECK FEE S �� <br />2) 4iATER SEtZV2CE TO BE PAID BEFORE BU.ILDING <br />PERMIT IS ISSUED <br />�' � <br />(A) TO BE <br />(B) EXIST. <br />BY PLBG. INSP. <br />WATER SERVICEa �PL. N0. <br />$ 2�' o� <br />INCEi �`.��i� Z�%DU <br />/-'' �'-�-H 2 � � <br />, (C) APPRO&o LOCATION �> � � e �r A��vx�n,� j•S 'Y.�tJl�.�v <br />`�r.c.� ' o� u �v CHART � - I � <br />3) D�IVEWAY PERMIT TO BE PAID BEFOFtE BUILDING // � <br />PERti1IT IS ISSUED 2 S FT. GO,vc_• D/W (TYPE) $ /` � _ <br />TOTAL* <br />4) S;nTUS OF SEWER CHARGES• - <br />BO::D ,jL DISTRICT �% FOOTAGE <br />N, S� E, W. <br />0 <br />SEWER COA'STRUCTION: <br />SEWER SERVICE: <br />SEWER CGYNECTSON CHARGES: <br />XEAR �! � TRU:QK 1/ [� � � <br />�� <br />��`ON � �I� �(t'£' n c: <br />TOTAL NEC �. <br />5EWER• PERh1IT FEE <br />CRTCH SASIN PERMIT. FEE <br />TOTAL SEWER PE?'c'r3TT FEES <br />' � �% r �=� <br />�' <br />'�/77 _'i� — <br />� � TRUN:K <br />$ <br />� /�J, po <br />$ `,'�L� �� — <br />$ 5D7. �o <br />$ �G, c o <br />$ <br />$ �O, �' G, <br />� <br />$ �/I�J <br />$ L �f._ <br />Y,A:'ERill� ,�" �' <br />$ '1U � <br />APPR�\. LOCATION OF SIDE SEWER OR Tc^E IN THE MAIN: <br />�_ .. , i c 'J� nr�.-.,�.. �I i-�� -..,c..,...r. � �'' � <br />UC' �'J1T.nL3-Y'1� <br />INFO :.J�:PILED BY: <br />REVIEii: <br />• PROJBCTS DIVISION <br />APPRO�'�L: <br />ENGINEERIt7G DEPARTMEt�T <br />DATE <br />DA'PE <br />DATE <br />