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. �re a�� � ,Y ��,,,, � /P ��.� ' <br />„ ' ���,� u. � � ,� <br />5 � ENGINEERING DEPARTMfiNT �1i�� �%/�` <br />, • BUILDING PBRMIT INFORMATION <br />/� J� p���..p�-� CC�{rCES�..'�'/OAJ $7�L4�1 <br />ADDRESS (v�DG �/�/�vCJO� Fy TYPE �' �,��fYR,�.L' <br />i.,.. � h ,Z , <br />1) BUILDING PERMIT FEE $ <br />(A) PLAN CHECK FEE $ <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED , <br />�" S 2%-�. Oo <br />(A) TO BE DETERMSNED BY PLBG..INSP. _� INCH <br />(B) EXIST. WATER SERVICE, APPL. NO. , <br />. (C) APPROX. LOCATION ��O ~ D• /, S � �• � NA�D�OKi <br />H�.�v �.h i3o' �v, �✓ ri o..... �/ r�t �.� P�►xT A/ - Z/ Z <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED �- FT. �- D/W (TYPE) $ <br />4) STATUS OF SEWER CHARGES: <br />BOND �--- DISTRICT <br />I . <br />Gr��� s•�er he�. <br />Qv���a �t <br />� <br />p,� F.�vcE Ac-;ectr� <br />TOTAL� <br />FOOTAGE <br />N, S, E� W. <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />$ <br />ITOTAL SEWER PERMIT FEES $ �� <br />ER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK $ <br />LATERAL $ <br />SEWER SERVICE: $ <br />`_ <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />CHART <br />INFO COMPILED BY: DATE �/7 7(� <br />REVIEW: <br />PROJECTS DIVISION <br />APPROVAL: <br />ENGINEERING DEPARTMENT <br />* mti;.- ".. _, _.__. . • - - - <br />�. <br />DATE <br />DATE <br />� <br />� <br />