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ENGINEERING DEPARTMEtJT <br />' BUILDING PERMIT INFORMATION <br />ADDRESS // 3 �� W //� /i s �n '� � i";.•.. TYPE `� /` i� <br />1) BUILDING PEttilIT FEE PL b� '� `°,.`' .!�055S,� $ S'!� -0`� <br />(A) PLAN CHECK FEE � $ � <br />2) WATER SERVICE TO HE PAID BEFORE BUILDING �"P'G' �-1-� ( 7 U <br />PERMIT IS ISSUED $ � oo,�� <br />(A) TO BE DETERMINED B1' PLBG. INSP. 3=/ INCH <br />(B) EXIST. -- WATER SERVICE, APPL. N0. — <br />'p' �` > e �,f a : .,. ,�_P�. 4:� S .� . b. <br />(C) APPROX. LOCATION .�. ,�.:._ ,�_ r„ t9 y� �' `'�"- <br />6i;� .� �� � - <br />� i .,.>� r �".�y,,F;� ��' ..:��i.�. - Ct'iART S—If-Z&-S <br />3) D��\'iiiAY PERMIT TO BE PAID BEFORE BUILDING <br />PBti•iIT IS ZSSUED `� FT. - A��_ D/W (TYPE) <br />� .. <br />TOTAL* <br />9) S^I:.;;S OF SEWER CHARGES: <br />�^:.:�_� DISTRICT 3_; cUvT11GE _-` `' <br />N, S, E, W. <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />SEWER CONNECTION CHARGES: <br />YEAR �74 �'RUNK <br />� �T ����`P <br />TOTAL CO N��TIO C (,E <br />SEh7ER PERMIT FEE <br />CATCH BASIN PERMIT FSE <br />TOTAL SEWER PERI�±IT FEES <br />.�nP: ��;, :. /C:�TION OF SIDE SEWER OR TEE <br />/eco.rG%6�11� J t,� �7�-c--2�- —` <br />�w G�P_ aa_+�sr:: • 6..5'�" % / ' <br />I:�FJ ::J::?ZLED BY: ��.� "s% _ , 1 <br />gr��:'n::: <br />PROJECTS DIVISION <br />APP3�':'r._' ; G����G� <br />ENGINEERING DEPARTMENT <br />TRUNK <br />LATERAL <br />THE MAIN: ��", <br />S / 92.50 <br />$ 23 2 . _r.� <br />S �9 2u C17 <br />$ 30� �0 <br />S — <br />S 3o,on <br />S 2 . zs' <br />S_ 2�7� <br />S � , sr� <br />..::.,���fl4+ ".; o � . <br />S- / 9-28-t <br />DATE 9- 30 - 7 � <br />DATE <br />DATE 'A��/J�J6 <br />