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� <br />ADDRESS <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />ENGZNEERZNG DEPARIMENT <br />BUILDING PERMIT INFORMATION <br />� <br />I h h e�r t on � `'d �:� t•• � � �;'�� TYPE .i /= : � <br />i. <br />(� � /-�'� � � � p� S-`�`s` oc� $ �Ya' tk'b <br />2) YiATER SERVICE TO BE PAID Y �FORE BUILDZNG' P�" �� ' <br />PERN:IT IS ISSUED <br />(A) TO BE DETERMINr,D BY PLBG. SNSP. �f INCH <br />T <br />(B) LXIST. --- WATER SERVICE, APPL. N0. ----- <br />nF � <br />(C) APPROX. LOCATION � �.r':. � F -�¢,� J� ¢w�� <br />— � <br />�. , � . , �: . <br />'�'� : � �� �' '�� '� ' r�' _ CL�ART S-1 9-25 S <br />3) J;�': E�CAY PERMIT TO BE PAID BEFORE BUILDl*IG <br />P�3:�:IT IS TSSUED � gT, ���_ D/W {TYPE) <br />TOTAL* <br />-3) ��;:":':;S OF SEWER CHAkGES: <br />�::•� ��_ DISTRICT 3.� FOOTAGE R-.-.- <br />N. S� E. W. � <br />� —33 — (a33 — 'O c7 <br />i NOTES <br />i 5��.,,,9� r•t.f%�n 7�0 6P <br />{ie �r�.s�;� � y/ <br />� `.�''"6U�� SELt%Ef� _:.aL <br />�a '6 E � �Js-r�q � r_� ,�:� <br />�'� �' , �' �� � �-� <br />, S�w� �� . .r.,T::�:. <br />', � : — <br />5�,�4ER CONSTRUCTION: <br />SF.{9ER SERVICE: <br />SEWER CONNECTION CHARGES: <br />YEAR �7G TRUDIK <br />tJ�TESCfi�A�G`E <br />TOTAL COYN C �pN <br />SE�ti'ER PERMIT FEE <br />CATCH BASIN PERI�IIT FEE <br />TOT,EL SEWER PERP;IT FEES <br />.._ .:'. ... '.'�?:TZ09 OF SIDE SEWER OR TEE IN <br />I_:,; �_.._ :T_�D BY: <br />0 <br />P.E'.' : �.. . <br />Pi20JE:TS DIVISION <br />) : !I <br />APi ^,.... : ' .' - <br />ENGINEERING DEPARTMENT <br />$ IST-- � `" <br />� <br />� ;. aa <br />� LbG.nA <br />�/�,OC� <br />S .`�" , � <br />$ .�-� oJ " <br />2�S`Z �'Z� <br />s � v:.so <br />$ 2�2.50 <br />S l�2S,00 <br />$ 3 0. o� <br />$ '_ <br />$ 3o,np <br />TRUNK $ <br />LATERAL <br />AIN: A" <br />$ 2.7:' <br />S z , sZ� <br />•f.••-1i' .r�o-F. OEl6l �{i..J�• • <br />CHART S-/4'-z8-f <br />DATE .y - Z f- � G <br />DATE <br />DATE /(J��_ <br />