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ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORt1]\TION <br />ADDRESS Q�I Z �. -��� = TYPE c�c„w!M) <br />_ [-�{t <br />1) StIILDING PERMIT FEE �O, GG<� "'�' $ �'7, 00 <br />(A) PLAN CFiECK FEE S I CDD�•:��-.. <br />2) FiAiER SERVICE TO IIB PAID D£FORE BUILDING <br />PERMIT IS ISSUED <br />��� <br />(A) TO BE DETERMINED IIY PLBG. INSPe INCH <br />IB) F.XIST. WATER SERVICE, APPL. N0. <br />(C) APPROX< LOCATION <br />0 <br />�-;„ U�: l <br />� �' W <br />CHART (/ ; ,. _: i <br />3) D3IVEWAY PERMZT TO BE PAID BEFORf; BUII9ZNG <br />PE3:•1IT IS ISSUED25 FT. �J•...�;}/•,�r D/W (TYPE) $ /2.Sd <br />TOTAL* $ 520• :;°".; <br />4) S:nTUS OF SEi�TER CHARGES: . <br />&O:dD� DISTRICT � -C� FOOTAGE �; CU � <br />, S, E, W. <br />0 <br />SEAT£R CONSTRUCTION: <br />SE�9ER SERVICE: <br />SEW'ER CO:INECTION CHARGES: <br />XEAR � TRUNK <br />TOTAL'CO�N��N`�CHARGE <br />SEWER PERDIIT FEE <br />CATCH BASZN PERMIT FEE <br />TOTAL SETv'ER PERI�;IT FEES $ <br />�' i� -- <br />��'�,�"� Y L <br />TRUNK �.� � ,� $ L A� U <br />i <br />LATERAL 5 � �, �� I $ - - <br />APPc2J.l'. LOCATION OF SIDE SE�JER OR TEE IN TNE MAIN: <br />C1i11RT <br />INFO �J}:PILED BY: <br />REVIEiC: <br />' PROJ�CTS DIVISION <br />APPROI'AL: <br />, ENGIN�ERING DIiPARTM�NT <br />DATE <br />DATE <br />DATE <br />5�.,�'-,^�..�.�-�- <br />�g�zcao <br />