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� <br />ADDFtESS <br />1) FiUILDiNG PETNIIT FEE <br />(A) PLAN CHECK FE£ <br />ENGINEERI�.� DEPARTMENT <br />L Nt� <br />�,�i ; ... ��� <br />v F TYPE__' ... � lb � <br />, <br />S .�... <br />y ���., <br />2) WA>F.R SERVICE TO DE PAID BEFORE BUII.DING <br />PEf2MI'P IS ISSUED <br />(A) TO F3E DF.TERMINED BY YLBG. INSP. -�/' INCH <br />(B) EXIST. �_ WP.TER SERVICE, APPL. N0. <br />, <br />S 200. or' <br />F: : . ., <br />i ;. � . <br />,�: �' �c , - '. .' _. <br />l'C) APPROX. LOCATION � � � C. l, �rr a �n - ' � � '�V o � � ai <br />so z�� A�, a cr�x�r l. z i C: <br />31 :,:2:: i�i�Y PERMIT Y'0 SE PASD BEFORE BUILDING <br />P�3:�:I; IS ISSUED — FT• -- DIW (TYP£) <br />EX. DRiuEul�y-- /'��tKl,clC� t�FF /���_i� Y� TOTAL• <br />•3 ) 5::.: _:S OF SEh'ER CHARGES: FOOTAGE E= <br />':,� � DISTRICT / G <br />` -- Nr S, (Ei) W. <br />S�ivER CO...riTRGCTION: <br />SEWER SERVTCE: <br />,. - . . ^'.TI09 OF SIDE SEWER <br />SEWER CONNECTION CHARGES: <br />YEAR r 7 l. TRUNK (�11ti'% <br />� /� � ERAL �Htl.�% <br />` � ' <br />OTAL 0�1�r CT ON CiWRGE <br />SE��'ER PERMST FEE <br />S <br />S — —� <br />! j7, o, <br />$ �-6��� <br />� i2,sp <br />5� <br />$ 3 b_. %� b <br />CATCH BASIN PERMIT FEE S <br />TOTAL SEkBR PERf:I.".� FEES S -�'J. eC� <br />i� <br />TRUNK (N�N� S �-"' ��� <br />F �, <br />LATERAL i/�fl,�) $�2,'� f� <br />TEE ..cs THE, MAZN <br />�� - ?'^_'�E� Qf -�-�'�,—,,� •-���Zl�'�� <br />C <br />„t...- ... <br />�� " -- , PF�O� CTS DIVISION <br />anr^ _... , i � � .(�-;-� <br />.. r - . . . _ _ . <br />� H � i-� `'e,� <br />jq1 n E SEck' LA�� �yG: � S. <br />DATE <br />•.��0,�� <br />n�m� <br />