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£NGINEERING DEPART�dENT <br /> HTIiLDING PERMIT ??IFOFU�LITZON <br /> i, 1 • <br /> AIiDRESS ` . ��:.�':,:_� l_.'/ ' �5 V E: '::,.�:-�7Pc.ocyT A TYPE �� •l�. �' , <br /> 1} BUTLDING PERMIT FEE G :� CODO- "� $ I LI • °p <br /> (A) PLAN CHECK FEE -�_ r��::��c S <br /> 2) 4iATER SERVICE TO BE PAID BEFORE IIUILDING • <br /> PERMIT IS ISSUED $ ' <br /> �� ?�1 „ ��t!4. Z;. o� <br /> (A) TO BE DETERt•SINED BY PLBG. INSP o �A TNCH ,����� �G , �. .� <br /> (B) EXIST. WATER SERVICE, .APPL. NQ. � <br /> . . (C) APPROX. I�OCATION ¢ �� �;�j i�' ' ,t/ �r ,t,/ <br /> �' � L:l�� S�lBJ�T I'�('OP. CHART =- Z7 '- <br /> 3) DRiVE�ti'AY PBRMIT TO BE PAID BEFORE BUILDING <br /> PER:•1IT IS ISSUED 'LS FT. �:-�.(�-1 At•T �/W (TYPE) $ I Z `� <br /> . TOTAL* $ 17'l - °�c , <br /> 4) S;:,TUS OF SES�'ER CHARGES: <br /> &O:tD 'f�r'� riISTRICT ��� _, FOOTAGE <br /> N, S, E, W. <br /> NOTES SEWER r_ONNECTION CHr1RGES: <br /> XEAR �7 TRUNK $ � 'LD� � <br /> _. : '_._.:::.�.�_ . LATERAL $ �(OJ� f.t� <br /> �- ���` ,- ."� 1 - `�'' TOTAI, CONNECTION CH,aP.GE $���� � <br /> SE�+IER PERbSIT F£E $ 30• �� <br /> CATCH BASIN PERI�IST FEE $ <br /> � � TOTAL SES�IER PERDiI'�' FEES $ �-'�• � G <br /> 5) ::J:��iii.,Y SEIti'ER CHARGES: <br /> SEWER CONSTRUCTION: <br /> . TRUNK $ �L• �S <br /> Y.ATERP.L $ i:'.7 a <br /> SEWER SERVICE: $ L��v , <br /> APPRJS. LOCATION OF SIDE SE��TER OR TEE IN THE M.4IN: ��c� ��/R 7U <br /> r�L=Cr>�t.r;-- 't=ti�1 1-,hr_r.� - L,r�. , <br /> cx,�xx r�_i � ��--, <br /> INFO :.J>:PILED BY: DATE <br /> REV I E i�: DATE <br /> ' PROJECTS DIVISION <br /> APPRGI'�L: DATE <br /> , ENGIN�ERING DEPARTMENT � <br />