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1ENGMEE11ING DEPr.xTMENT <br />11UI7.i]ING PT:143i'I' P.:T'Ual•11'fI014 <br />ADDRESS -Z4z--a-> G �Puo <br />TYPE <br />_ <br />x) <br />I:UILDIIIG PERMIT FEE <br />90r 00 <br />$ 7. d0�� <br />(A)' PLAN CIIEch FEE <br />i $— /-73. ss—' <br />2) <br />r:F^Fr, SERVICE To BE rnr.D 11EE•oltE L•iJ):Li)ItiG <br />Pi R :IT IS ISSUED��� <br />U <br />(A) TO RE DETBIWINED <br />BY PLBG.' IETSP. / • 211C �g4' r �6'V� <br />_ <br />(13) MIST. WATER <br />SE:RVICEr APPL. NO. <br />_ <br />(C) I>PP1:Ox. LOCATION <br />(�iG .Zr, <br />cluou <br />3) <br />,,.,A <br />FisAY PERMIT TO 13E <br />PAID BE" )3UILDI:?G <br />Pi', :%'IT IS ISSUED .-- <br />FT. _ _ _ D/Pi (TYPE) <br />`F.OiAL <br />4) <br />S;=TUS OF SF,idER CHLRGES: <br />`-- --- <br />bO:;D DISTRICT <br />rOOTAGE <br />_ <br />5) i7L1.' SEWER CHAR S: <br />SEWER CONSTRUCTION: <br />SLNER SERVICE: <br />SEI•ZER CONNECTION Ci!A!tGES: <br />YEAR TRUNK. <br />E.A'1'F,R.AI. <br />TOTAL CONNECTION' CIT7:RGE <br />SET•TR• PEF1•;IT FEE; <br />CATCH DASIN PEPWI'S FF,E $_/O_• O U <br />TOTAL SE1,M11 PEMIIT FETES <br />TRUNK .� <br />LATEI'.r7� <br />j'� 1� <br />-- <br />APPIM. LOCATION OF SIDE SMER OR TEE XII TII13 MAIN: <br />QL.� 'r)f1 _,T b GQg F cttl 4arin `layplZpv. h-t _� <br />r_a,.. c' r•n,> urr r••.. _,.:., nnnn n.. tt.__'tti�.-rtt�t�m �_`r`�"moo-� <br />I14FO CIMPILED BY: <br />REVIEW: <br />,r• P1.TOJECTS DIVISION -_�- <br />DATE <br />UATE <br />APPROML: DATE <br />�'� ENGIN1itiR1NG DIA'ARTISENT �' <br />