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����- �� <br /> /5� <br /> ENGINJ:BRIIQG ['�PARTMENT <br /> IIUILDING PERMI' N&::r;u�TION <br /> - /' - .- '_ �o�S% <br /> 71DDRESS '���' r �� �l��f ' TYPE <br /> 1) 6UII,DSNG P�RhSIT FEE Z4-�2d4 ,�.0 $ ��/l pp � <br /> (A) PLAN CH�CK FEE $ �� ,-�-- <br /> 2) WATER SERVICE TO AE PAID BEFOR� IIUILDING � <br /> PERMIT IFi ISSUED $ i'�(�. - <br /> / 3�r . �'' . <br /> (A) TO BE D�T�RMIN�D IIY PLBG.' Ii1SP. SIt- IIdCi� y ' �`' <br /> MIE.raf /�--,F�o <br /> (B) EXIST. WATER SERVICE, APL'L. NO. <br /> (C) APPROX. LOCATION '�� �-�-, ' � pr- ¢, O� <br /> C9A.�_�=- I��� CHAFT /�- S2' . <br /> 3) DRIVE[9AY PERMIT TO BE PAID BEr^ORE GUILDING <br /> PER�IIT IS ISSUED FT. D/W (TYPE) $ <br /> Pr�-��`rc� --ro��- ��- ��_��LY . .. <br /> TOTAL* $ L.� -�' <br /> , 9) STnTCo OF SEI4ER CIIARGES: � ' <br /> BO:�D DSSTRICT FOOTAG� "���' -'"'- _: 1.: . <br /> N, S, E, W. <br /> i70TES SES^7�R CONNECTION CIiARGES : <br /> YEAR TRUNK $ - <br /> LATERAL $ _— <br /> . TOTAL CONNECTION CHARGE $ <br /> SEWER PERAfIT F�E $ �O• �`� <br /> �. �ATCH BASIN PERi•1IT FEE $ <br /> TOTAL SES9ER PER2�7IT FEES $ �� �• �'` � <br /> 5) ::�:�;i:�� SE[iER CHT�RGES: ---_= <br /> SES��F CONSTRUCTION: <br /> TRUNK S <br /> LATERAL $ -- <br /> SE�v'ER SERVICL•': $ �, ',�U <br /> APPRJ.l'. LOCATION OF SIDE S�i41?P. OR T;;E IN THE M.1IN: � p[_ L�y ' /�Pl�2� <br /> �OQ: /�/ Ov /�"lL/ /.�� ��Q�.y L7 v�r�P�o ;.� � aF�.-p <br /> _ _ C1ll1RT Ni- ' O - Z�7 � <br /> INPO CG}:PILED BY: Da'PE <br /> RE V I Ei�: DATE <br /> PROJECTS DIVISION ^ V--� <br /> ?iP Px 0\'.l L: DAR'E <br /> L•'i4GIN�L'R1t�G DL•'YARTbi!iNT - <br />