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- ENGZNEERING DGPART�dENT <br /> HUILDING PERMZT INFORMATION <br /> ADDRESS �I O�, . C�f/� ,�r ;'iv:: i�,' TYPE ��� <br /> 1) BUILDING PERMIT FEE LS,�� � S ��`�` aJ <br /> (A) PLAN CHECR FEE S '`--�7�'�� <br /> 2) WAiER SERVICE TO B� PAID BEFORE BUZLDING ' <br /> PERMIT IS ISSUEA $2�' �� <br /> �' �JGn•4 Z � co <br /> (A) TO BE DETERidINED BY PLBG. INSP. �� INCH �,_:_� �, c o <br /> (B) EXIST. ' WATER SERVICE� APPL. N0. , <br /> . (C) APPROX. LOCATION �O' N oa tiJ P�o�' <<r-+t ��'_ <br /> I =•U=t3J�'T lYk nPt-T.'r� __ CHART L(J - `Z¢O , <br /> 3) D�IVEIaAY PERMIT TO BE PAID BEFORE BUZLDING i='� <br /> PER�lIT IS ISSUED /.1_ FT. D/�? (TYPE) $ ��� <br /> TOTAL* $ ¢���" �� <br /> 4) S^.dTUS OF SEWER CHARGES: <br /> BO:�D DISTRICT FOOTAGE <br /> N, •S, £, W. <br /> NOTES SES�TER COAfiIECTION CFiARGES: <br /> YEAR TRUNR $ <br /> , ��..�.�.r .rlo� <br /> LATERAL S <br /> . � <br /> Tp '�j� �fjt��c[� UA�TlL-- TOTAL CONNEGTI0:1 CHARGE $ <br /> ��G Tz�'C ��� SEWER PERN,IT FEE S <br /> ¢� G�� C�cve� Ta G� � <br /> �� V �J� CATCH BASIN PERMIT FEE S <br /> � TOTAL SEWER PER2�?IT FEE;S $ <br /> 5) ::J:�::LY SEIdEIt CHARGES: <br /> SESJER CONSTRUCTION: <br /> TRUNF. S <br /> LATERIIL $ <br /> SEWER SERVICE: ��,�,��+_.. .</C'j s� l :i/�1Jf ;.�c S <br /> APPnJ\. LOCATION OF SIDE SEWE12 OR TEE 1'N THE MA.IN: <br /> CHI�RT _ <br /> INFO �J>:PILED SY: DATE <br /> REVIEK: DATE__ <br /> • PROJECI'S DIVISION <br /> APPRO\'�1L: DATE _ <br /> ENGINE6RING DEPAI2TMENT . <br /> 9 <br />