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� �'��� ' �=, � <br />�: � <br />- ENGZNEERING DEPART�dENT ' -> _-. =' <br />. . . _ BUILDING PERMIT I*1FORMJ\TION <br />ADDRESS _. � 7 �Z � � o N%�/�l3 •� /✓ ��r. TYPE ��71//./%/J. • <br />1) BUILDZNG PERMIT FEE ��p�� /5/ �°v l� �� $ 7rj -�ji � <br />(A) PLAN CH�CK FEE . c� �.�.�--, S <br />2) 4iATER SERVICE TO BE PAID BEFORE HUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERldZNED BY PLBG.' INSP. �i �, ZNCH <br />�B} EXIST. WATER SERVIGE� APPL. N0. <br />$ '/DO..C9U <br />�`l�-�f .'..9x S /1�� <br />�vlls=l�1 i �. ; �s . <br />(C) APPROX. LOCATION �; �� L-- ,'"r !�t' h tzo�c � ca .;. 04 <br />� - �-- ' CHART �—� <br />3) D�IVEWAY PERMIT TO BE PAID BEFORE; BUILDSNG <br />PER�IIT IS ISSUED 25 FT. Cca.tJC. D/W (TYPE) $/2���"'---� <br />.• TOTAL * $ I S' ?� fr. t� U <br />9) S�nTUS OF SES�R CHARGES: <br />BO:dD .j� DISTRICT 22- FOOTAGE �"`�� � <br />N, S E, W. <br />SES9�R WNSTRUCTION: <br />SEWER CONNECTION r_gpRGES: <br />XEAR 7� TRUNK $ 3�''�. �oG� <br />p�' / /� ��8� s Co2D•l� / <br />To�ra�, c6i,�fa e 0�CHARGE s/�o '�,2� <br />SEWER• PERIdIT FEE $ %D � � v <br />CATCH BASIN PERMIT FEE $ /Q . a`J <br />TOTAL SEWER PERASI'I' FEES <br />TRUNK <br />IaATERAL <br />SEWER SERVICE: $ /Vf��%� • <br />APPROS. LOCATION OF SIDE SEATER OR Tc'-; IN THE MAIN: ��,g -7'0 %� <br />/�l�o2,o�c La �' /a� 1�c �///-1 �.� � i✓: � r�� ��� <br />INFO CJ?:PILED BY: <br />REVIEi�: <br />' PROJECTS DIVISION <br />APPRO�'aL : <br />EtVGINEERING DEPARTMENT <br />DATE <br />DATE <br />DATE <br />0 <br />