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� <br /> �� IiNGINEERING DEP.ARTMENT <br /> _ BUI7;DING PERMIT INFORMATION <br /> ' AllDRESS=._;�% _ ,-. + � - _ ��� TYPE <br /> 1) HUILDING PERMIT FEE $ <br /> (A) PLP.N CH�CK FEE $ — <br /> 2) HATLR SERVICE f0 BE PAID BEFORE BUILDING <br /> PERMIT IS ISSJED $ +..;:,�.,J,.�,_.;s:,�.. <br /> (A) TO BE DE2ERMINF.D DY PLBG. INSP. � INCH n� 3/�I �� 00 , n0 <br /> (B) EXIST. -- WATER SERVICE, APPL. N0. — �'�f'J .L� <br /> (C) APPROX. LOCATION ` '; , n�.� ,'.-. 1„�ri. , - F�� �^�'�{ R`•t� ~'�'\' <br /> IS � F oY � �EAVIEL✓ CHART LN- SI_ <br /> 3) DRIVE[4AY PEF2MIT TO BE PAID BEFORE BUZLDZNG <br /> PERhtIT IS ISSUED '�. FT. ,=;f,/, D/W (TYPE) S /r:., ;', <br /> TOTAI,* $�._ <br /> 4) STATOS OF SEWER CHARGES: <br /> IIOND �" DISTRICT 2C> FOOTAGE <br /> N, S, E, W. <br /> NOTES SEWER CONNECTION C:iARGES: <br /> YEAR - '7 ! TRU:�K � $ � y q- <br /> , LAT:.,'RAL � 3 ;. <br /> � .�Z�- <br /> TOTAL CONNF,CTION CHARGE �" $ ,g'p 7 5-�: <br /> �'�.����.f1 � - <br /> SSWER PERMIT PEE ,�"�'I�� r y� $ �. , <br /> f ��. <br /> CATCH BASIN PLRMIT FEE $ — —' <br /> TOTAL SEWER PEF.MIT FEGS $ 30, , �� <br /> 5) MONTHLY SEI9ER CHARC,ES: <br /> SEWER CONSTRUCTZON: <br /> TRUNK $ � , � 5- <br /> LATERAL $ _ , z .—` <br /> �\'� .:�., <br /> SEWER SERVICE: AIE�RlcB•�f-:y,{A;��•,S�RVc'j�S"�+�' $CFS�p,J = <br /> �6 �!✓. <br /> APPROX. LOCATION OF SIDE SESQEA OR TEE ZN THE t�aiN: �}' � �; �, , l,!nb r_ <br /> � ��,mqir '_..,. ll�a.. ��{ � 'a� r:� d � � �_ �M. N 7�0 /S SY✓ �� .T/L�COri.x^ <br /> � , .. t^.� � , � CHART !�'- -- %-`i <br /> INFO COMPILPD BY: ���% _ - IZC, DATF., .. . ;{ - jC <br /> `= � - - <br /> REVIEW: DATE <br /> PROJECTS DIVISION <br /> APPROVAL: /�7�y DATE � /� <br /> --�-� �NGINEERING DBPARTMENT <br /> * This total must be paid befor� building permit is issue3. <br />