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n <br />ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS i /8 !� i V, r9n 14 $% <br />TYPE Ga M rvi <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. <br />--- WATER SERVICE, APP <br />L. <br />INCH <br />NO. <br />$ 7 0�� <br />r�sij4 <br />(B) EXIST. ^ / <br />(C) APPROX. LOCATION <br />- 2C E e7 aT y�'ry;n; y <br />CHART <br />3 DRIVEWAY PERMIT TO BE PAID BEFORE BUILDINGTYPE) $ ?' SQ <br />PERMIT IS ISSUED � D <br />FT. �Qy,��'�,_ <br />TOTAL* $ <br />4) STATUS OF SEATER CHARGES: Na rf �+ C: nut � / <br />BOND �- DISTRICT FOOTAGE i. a <br />N, S, E, W. <br />SEWER CUNS'1AMlive- <br />SEWER SERVICE: <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK $ — <br />LATERAL $ <br />TOTAL CONNECTION CHARGE $ <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE $ <br />r' 00 <br />TOTAL SEWER PERMIT FEAS 30 <br />TRUNK <br />LATERAL / �t <br />J� <br />$ �ottr ed <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />19H •n /LT'� +t a//ry r4 <br />INFO COMPILED BY: <br />DATE <br />REVIEW: jN <br />PROJECTS DIVIS_L7 <br />DA <br />APPROVAL: _ _ <br />ENGINEF•.RING DEPARTMENT <br />* This total must be paid before building permit is issued. <br />src <br />" T 's <br />