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EI4GINETiP,ING DEPARTtd1:NT <br /> BUILDIIaG YGRI�7ZT INFGRNnTION <br /> ADDRE:,S J=LI�� i ;�Il. �,r.ir� �L� . TYPE J�— C. <br /> 1) BUILDING PHRi•SIT FEB 4`7�1��� `� � S ��'�/� �" <br /> (A) PLAN Cf1:CK FEE $�� <br /> 2) FLliER SGRVIC? TO BE PAID BEFORE IIUILDII�G <br /> PER�IIT IS IS:;UEU $ � 7S� OU <br /> (A) iU IIE DETBRMIIdED IIY PI.3G. INSP. � INCH Fa��' 3! �U <br /> N��=t� ��,00 <br /> (II) E}:IST. WATER SBRVIC�� APPL. N0. <br /> (C) APPROX. LOCA'PIOId <br /> CHART . <br /> 3) DRI�'�i4AY PEF2b1I'f TJ DE P11ID IIEFOI2� IIUILDING <br /> PEiJ1IT IS ISSUED � PT. �G'�i'!C D/W (TYPE) $ �2/ `�� _ <br /> TOTAi,'� s ��D7.n O <br /> 4) S^.�:TUS OF S�P7ER CIiA'.iGES: <br /> i30`:D DISTR:CT EOOTAGE <br /> N, 5� E, W. <br /> NUi�S S�h7I:R CONNECTION GiAF.S3iS: <br /> YEAR - TRUI�K $ <br /> LATBRAL $ <br /> ^'OTAL CONNECTZON CHnRGG $ ---' <br /> SEP7�R PER�iIT FEE $ ��' ��� <br /> CATCH BASIN PERt•1ZT FEE $ <br /> TOTAL SS�vER PERF'IT PiES $ <br /> 5) ::�:;_::.Y SSP;ER CIinPGSS: ---_ �- <br /> S�S9ER CONSTI2UCTION: <br /> TRUNK $ <br /> LAT�RAL $ <br /> SEl}ER uFRVICE: S_ <br /> r <br /> A?'PRO\. LOCr1TI0N Or SIDE SEI��R OR Tc,E IN TIIE hfAIN: Cc� �i/iJi .�.' ,J�'i'l'or� <br /> I�G�_ � G�.`- � �-/' -'�U �� T{=�_ <�1�'f;F'!'>Y ` ��Q�T S �' G.4/. __ <br /> CI3ART L- 3o-Z4- S <br /> INFO C��::i'ILED liY: _ Di�TE _ <br /> REVIEii: UATE _______ <br /> PROJECTS DIVISION <br /> APPROF'�I,: --- DATE_ ------ <br /> ---1;I:G�i�.!Sl:;ili:r' DI'i'AR1'.",litv'1' <br />