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P <br />ADDRESS �I G� <br />1) BUII.DZNG PERtdIT FEE <br />(A) PLAN C}iECK FEE <br />ENGINEERING DEPART[4ENT <br />BUILDING PERMIT ?*IFORM11T1JN <br />:��.[rf�l%'`L= t '..�� i <br />�--t=t� _ 1 <br />C�d C��- o0 <br />2) 4iATER SERVICE TO IIE PAID BEFORE BUILDIN� <br />PERMIT IS ISSUED <br />'� <br />(A) TO BE <br />BY PLBG. ZNSP. INCH <br />(B) EXIST. S�7ATER SERVICE, I+PPL. N0. <br />(C} �PPROX� LOCATION <br />TYPE VOG/,'::, �4l/,UIT J <br />$ G��% d� <br />S �.c]�,/G <br />CHART (/ / 5- %h"-� <br />3) D�iVEI9AY PERMIT TO BE PAID DEFORE BUILDING <br />PER:�lIT ZS ISSUED G FT. I-� %��1L•�D/W (TYPE) <br />TOTAL* <br />4) S;i+TUS OF SEAiER CHARGES: <br />&O:tD� DISTRICT � ;_i �� FOOTAGE �4 , 5Z� <br />N S, E, W. <br />5) ::J::�SiLY SEIfER CHnRGFS: <br />SEWER CO2vSTRUCTION: <br />SEWER SERVICE: <br />� � r�� <br />) L�. t <br />$ � �� ' �� <br />( . "�,, <br />� 2 � a . ti" <br />SEWER CONNECTION CHr1RGE5: <br />XEAR �7 i TRUNK $ �-y � ' �� � <br />TO�.�L C N�E��TIl0�7�CIiARGE <br />SEWER PERPSIT FEE <br />CATCH BASIN PERh1I� FEE <br />TQTAL SEW£R PERb1IT Fh'ES <br />L <br />� ;. <br />ly <br />TRUNK �� 5� � <br />i�� �� ^ <br />%.ATERI�L ' � <br />lyl •1 <br />� ", <br />APPR�S. LOCATION OF SIDE SEWER OR TBE IN THE MAIN: <br />iNFO �0>:'ILED 8Y: <br />REV I £IC: <br />� PROJECTS DZVISION <br />APPRO\'�\L: <br />ENGINEERIIvG DEPA1tTMENT <br />CH11RT <br />DATE <br />DATE <br />DATE <br />S Zq ..�' �; '- <br />� _ <br />$ L.p. a�� <br />S_ <br />S <br />$ ,� �, ¢ <br />��- <br />$ '---- , <br />S� <br />N"ILTL—�z�» <br />