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ENGINEERING DEPARTMENT / o, � �� <br /> IIU7LDING P�ItMIT I1vF'OR1dATI0N , /� � � <br /> ADDRESS � �: {� l� �c:uc.- . ., ���a�7.6 <br /> �t� l`11uLr� _ ��'�,.. <br /> 1) IIUILDING P�Ft1.fIT FEE ,, T,Pr <br /> � . <br /> (A) PLAN CIiL'CIC FEE � � (� D � oL LGOr.�r.�_� - <br /> S 2/� � Up <br /> 2) i7F�TER SERVICE TO IIE PAID IIEFORE IIUILDING $ '� , � <br /> YERMIT IS ISSUED <br /> IA) TO BE DL•'T�RidItdED IIY PLHG. INSP. S �7�-�J <br /> �_ <br /> � INCH fLP�(,. �Cj. c�p <br /> (B) E?;IST. ^•rE«. . _, : `� <br /> WATER SSRVICE, AppL, N0. <br /> fC) PPI�ROX. LOCATSON L'-° CT � -� � � <br /> LUTS Z��'Z(P E- c�F-- � �? . <br /> 3) DB_\'E�tip� p�g�,�IT TO BE YAID BEFOF2E BUILDING C�RT /�/-�4. <br /> PER:•iIT IS ISSUED — FT. <br /> f�L�lc�tit —�_ D/W (TYPE) $ �� <br /> �- Tb {?� G,� � 1��-�.Y . <br /> 41 S;.>TUS OF SEWF,R CHARGES: TOTAI,* ; '�/G�3„'�tj <br /> B`�'"� DISTRICT -'------- <br /> �_ FOOTAGE �(/p�-� ��o <br /> Nr S� C� W. <br /> NOTLS SE19ER CONNECTI027 C2L;RGES: <br /> YE�� TRUNK $ _ <br /> LATERAL $ -- <br /> � TOTAL CONNECTION CHAP.GE —�- <br /> $ <br /> SE[4ER PEILKIi FEE $ �p, u o ` <br /> CATCH IIASIN PEI2b1ZT FEE ��L� S <br /> I <br /> 5) :-�:�-::i�, -S�IiGR C1iA1i�;- TOTAL SEtPF.R PBRI•'IT f'EES <br /> $ <br /> SE��'F•,R CONSTRUCTION: -__ <br /> TRUNK $ ----- <br /> LATERAL $ _A_'- ` <br /> S7JF;ER SERVICL•': --'- <br /> APn�'2\. ,OCATION OP �_r $- M-�-��--I«.�-' <br /> ., DE SE�vL'R OR TEE }N TIiL•' Id1�IN; <br /> �t.LL. , (� . . <br /> cu=- �Uc�cr �� ��"' � �c, i >�� Ni�l C_, <br /> -�'—___�,_ c�� <br /> �c i,-2?_N��5�/,L L�� .� �:`- �%'�1 /���_��e��cn_l — <br /> Ii:i'� C0:•:i'ILF:D BY: _ C1311RT �;-/�- L�i� - <br /> --------______` <br /> REVI:ii; -- D�1'i'L' - <br /> ---------__�_�---------_.__ DATF. -_ <br /> PI:OSI;�1S UIVISION -- <br /> APPRJI'AL: <br /> lPlG11d1:)iRiNG DEI.'1ii?T.`,L'W'- 1'-- DhTT,---- <br /> � <br />