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-_ ENGINEERZNG DEPARTMENT <br />BUILDZNG PERMZT INFORMATI�N <br />ADDRESS_ j '? (tI ,';; ;` - _ :s TYPE <br />_ i� <br />1) BUILDIN(; YERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAIp BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETEFtMINED BY PLB�. INSP. -":' ZNCH <br />$ ��12,,� <br />s_7/.oU <br />P�r�{, Zs.oc� <br />Mt�.i. -l.00 <br />S �_ J _ ,, <br />(B) EXIST. -- WATER SERVICE, APPL. N0. -- <br />(C) APPF.OX. LOC�I E I3',�� /,� i`.-; _; ;'.. „. 8'iI G'. L� , lO 5 <br />6 c,z, 9 � o f , f <br />�5'r AV 4: <br />CHhRT L(� - 3';<> <br />3) D�:'•: ECiAY PERMIT TO BE PAID HEFORE BUILDIN3 <br />PLF::;1'. IS ISSUED :_ FT. :3 �,- i,� D/W (:`YPE) <br />, <br />�.�.�.�� ;i ..��Jr', • . <br />' To rAx. * <br />�) S::', : S 0^ SEWER CHARGES : <br />�=�' •�_ :1.�!.-. DISTF:ICT FOOTAGE `- - <br />N, S, E, W. <br />�3�—Z9(o—o0 <br />,"�wo 1=;�ov'>. <br />,) :. :._. _ SEI•iER CHARGES: <br />SE�4ER CONSTRUCTION: <br />SfiWER COtiNECTIUN CHARGES: <br />YEAR ' TRUNK <br />fc{ �/ (� TERAL <br />�OTAL CO%h�EC��N�CHARGE <br />SES�7ER PE:tMIT FEE <br />CATCH BA�IN PERMZT FEE <br />TOTAI. SEWER PERD;IT FEES <br />TRUNK <br />LATE:tAL <br />SEW�R fiERVICE: <br />-•-�-• ::• :'?:TION OF SIDE SEWER OR TEE IN THE MAIN: �;��' <br />'n%f-L_�.r'_CC��n• ��./l1�=r�..�o ,-Sr�.� .1 id.0 .j:�e .s-.C� ,. <br />5::�'J _ _.' =LED BY: <br />� <br />RE!': _.� . <br />PROJECTS DIVISION <br />i1D:)?> �.,... . <br />ENGINELRI G DEPARTMENT <br />-13'Z <br />DATE <br />$_ � c'+.5�"/4 <br />s 4c�c�•� <br />S ?._i=.�"t� <br />S ;>>..5�. cd <br />S :,rc. �o <br />S 3 ��, o � <br />/ <br />DATE � �j ` _ <br />