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� <br /> ENGZNEERING DF.PARTMENT <br /> _ BUZLDSNG PERMIT INFORMATION <br /> ADDRESS S � � � �c n v � F v✓ �°�^v'°����``i'�-^G TYPE_ S � /� <br /> �1) BUILDING PERMIT FEE "� $ <br /> (A) PLAN CHECK FEE $ <br /> 2) WATER SERVICE TO BE PAID BEFORE SUILDING � - <br /> PERMIT IS ISSUED P '��n����_. �$ ,�0�. 0� <br /> (A) TO BE DETERMINED BY PLBG. ZNSP. � INCH <br /> � �� �s ;� � <br /> (B) EXIST. WATER SERVICE. APPL. N0. . <br /> (C) APPROX. LOCATION � �� C� �� /"/� I�� I`� � E <br /> � S�= �V 1 � W I`i U G CHART W=�T 3 <br /> T 3) DRIVEF]AY PERMIT TO BE PAID BEFORE BUILDING <br /> PEFtMIT IS ISSUED FT. D/W (TYPE) S <br /> TOTAL• $ <br /> 9) STATUS OF EWER CHARGES: <br /> ROND � DISTRZCT ,Z O FOOTAG� '— <br /> N, Sr E, W. <br /> � -z � - !yc;'- Do <br /> NOTES SEWER CONN/ECTZON CHARGES: <br /> � i • f �� YEAR �c� TRUNK $ I �� � O <br /> `� UU; Ioin� ,� 1/ Y � � P„ ���� . <br /> 1G ' I�TERA�, $ J I 2 � J O <br /> �J�vwit � � ,� Gc ,�,��, •i;-�� �c� s►�= �� b . SO <br /> TOTAL CONNECTION �nARGE $ �O 7 _ <br /> � '( C '/. <br /> SEWER PERMIT FEE#'2 � 3�}�S S "��� � � <br /> � CATCH BASIN PERMIT FEEr�� � $ <br /> TOTAL SEWER PERMIT FEES $ J � � � O <br /> 5) ?iJtiT11LY 5EWER CHARGES: <br /> SE[�TER CONSTRUCTION: / /� <br /> TRUNK S / � <br /> LATERAL $l-�� � S <br /> SEWER SERVICE: $ a , SL� <br /> APPBOR. LOCATION OF SID£ SEWER OR TEE IN TIiE MAIN: S• S� �� / N �� � M,N, <br /> nh ¢ `�GA�� ���1 .Vc�1R SW � nr��eiL_ Lot 8 . A oc�r ' P � � L. <br /> CHART �n/- 35 24 <br /> I?:FO COhiPILED BY: � .P �-J DATE �� 2(- 7C� <br /> REV I EI4: DATE <br /> � PROJECTS DI IS 0�1 � <br /> ;�=a�,�1�f�2���%� �3,�1i n„cl' O�'��>r _ _ , <br /> APPROVAL: ���_��_ DATE -� � E. <br /> � E GINEE N��EPARTMENT <br /> � 'j'�17 '_: tn1--31 RIUSt be D�31.f3 1]!?fnl"t� h+tiiriinn ne�rmi �- . .- . •-•-�••••� <br />