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ADDRESS <br />1) BUILDING PERMIT FEE, <br />(A) PLAN CHECK FEE <br />�'�o - �6 <br />��� _ <br />ENGINEERING DEPARTMENT �/ /7� <br />BUILDING PERMIT INFORMATION � �S� <br />� � �-� <br />r'�. ���'�J! G=.�� �� '' <br />r"� �� _ TYPE �r� • <br />2`�c'G '� $ / -OG <br />S ,..oa <br />2) WATER SERVICE TO BE PAID HEFORE BUILDILaG <br />PERMIT IS ISSUED <br />S "�"'G' � , <br />. `�t� <br />(A) TO BE DETERMINED BY PLBG. INSP. �� INCH <br />(B) EXIST. WATER SEF�VICE� 1�,PPL. N0. <br />(C) APPROX. LOCATION f/ / i�:�,�/i:' � � /�/, <br />6 � - �Tv�✓ ��{ <br />;��/k�/�!� i ,'7 Y'c CHART �-'�iG'�; <br />3) DRIVE[tiAY PERMIT TO BE PAID BEFORE BUZLDING <br />PERDIIT IS ISSUED FT. ?�/W (TYPE) $ <br />TOTAL* <br />4) STATUS OF SEWER CFiARGES• <br />BOND��7 DZ; TRICT � J_. FOOTAGE_ "— <br />N, S, E, W. <br />� Z- �� 3`i` i� v T_____ <br />_. _.� . . . . . , _ <br />SEWER CONN�CTION CHARGES: <br />YEAR '7� TRUNK <br />TQT L �CON2IEC�J�ON C'GH�ARGE <br />�I'�'jt <br />SEN?ER PERMIT FEE ') �3I�� <br />SEWER CONSTRUCTION: <br />. SEWER SERVTCE: <br />APPROX. LOCATION OF SIDE SE' <br />_ -. r�•,�,� y, _ r� <br />INFO'COD1 ILED BY: � �i�,�;, <br />lt,^.:'IEW: <br />CATCH BASIN PERMZT FEE <br />TOTAL SEWBR PERMIT FEES <br />,�l Jl�� <br />TRUNK <br />LATERAL <br />OR TEE IN�`HE MAIN:_ `,. � <br />,�E'a.�r � <�1�T..:;::� u <br />�-� i' � CHART 7T- <br />��.'f�� DATE <br />— . DATE <br />PROJECTS DIVISION <br />APPROVAL: __ DATE <br />ENGINGr,RING DEPI�RTMENT <br />* This tatal. must be naid hefore buil�inn n�rin;r ;G ;��„�,; <br />$ <br />$ — <br />� -, ..- <br />S__���•i� / <br />S //s�1t <br />$ 7• � �. . <br />S � J� <br />, _. �-, i <br />