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� <br /> ENGINEERING DEPARTMENT <br /> ` BUILDING PERMIT INFORMATION <br /> � ADDRESS �,�a � � .� r.� ' <br /> , �-, F'r`�tnti� � 1 P TYPE <br /> 1) BUILDING PERMIT FEE �'" C ��` �~A <br /> (A) PLAN CHECF FE� $ <br /> Z) WATER SERVYCE TO SE PAID BEFO'2E BUILDING $ <br /> PERMIT IS ISSUED <br /> (A) TO BE DETERMINED BY PLBG. INSP, ''r'�:� $ !`"�• aCt <br /> '� 4� INCH <br /> (B) EXIST. WATER SEFVICE� APpI„ NO. <br /> (C) APPROX. LOCATION " ' ' /—� <br /> � »1QIR - i._�lpV aT� �' ,j[' <br /> E, G:�„�r L,; c <br /> 3) DRIVEiVAY PERMIT TO aBEJ PAID BEFORE BUILDZNG C�RT /1I G G, <br /> PERMIT IS ISSUr,D <br /> 3'S�. FT. ___ D/W (TYPE) Q � a IIr�, $ � <br /> .1 <br /> 4) ��:��US OF SEWER CHARGES: TOTAL* $ �� <br /> 90ND DISTRICT <br /> �__ FOOTAGE J�f e . <br /> Nr S. E, W. � <br /> NOTES SEWER CONNECTION CHARGGS: <br /> YEAR � 7L TRUNK $ <br /> ^." <br /> LATERAL $ _ , <br /> TOTAL CONNECTION CHARGE ,S _ <br /> SEI4ER PERMIT FEE $ <br /> — 'S6 ae <br /> � CATCH BASIN PERMIT FEE ��"e►� �- <br /> 5) D10NTHLY SEWER CHARGES: iTOTAL SEWER PERMIT FEES $ <br /> SEWER CONSTRUCTION: <br /> TRUNK $ _ <br /> LATERAI, $ _ <br /> SE�9ER SERVICE: <br /> APPROX. LOCATION OF SIDE SL. $� rf��— <br /> ��Q�� _ o, T 4 WER OR TEE IN THE MAIN: ' ' � o y( �. <br /> �trl s . � /`'! K /2 ae.ic.n - <br /> -_ � �' G�r n n w�_-i(_.� i 7�' S F � ' e 7� 2,S R 6 <br /> INFO COMPILED By; ���{ CHART s�----- <br /> __C11 1 J ' 2 f -x- <br /> REVIE�9: nATE y /� `� � <br /> PROJECTS DIVISION DATE <br /> APPROVAL: <br /> ENGINEERING DEPARTMENT DATE <br /> * This total must be paid before building permit is issued. <br /> 1 <br /> — _,."'_ - J <br />