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ENGINEERING DEPAkTNENT <br /> BUILDING PEkMIT INF.7RNATION <br /> i, <br /> P.DDRESS .=� =�% ,' — _ �l`' ��•'=. ���4.��' TYPF `,.�r- 1�- <br /> 1) BUILDING PERMIT FEE $ � - � <br /> - . i.'-l�?i v ��, <br /> (A) PLAN CHECK FEE S <br /> � '•;"�y,� � ' . 2) RATER SERVICE TO BE PAID BEFORE BUILDING r-� S�Zt' Tu r3C�0�`�' <br /> i �x��';;� : PERMIT IS I,riSUED ��'�(� <br /> ,�;a�,��- � �� �.� S . �. <br /> �{`- ' ' � (A) TO BE DETERMINED BY PLBG. INSP � '" INCH ���� o <br /> U <br /> �B) EXSST. WATER SERVICE, APPL. Np. ne ���"�'� <br /> �., _ �'P-C?(-1t� VF�' <br /> (C) APPROX. LOCATION �:F !r ��/� ;�' � L', Y',. ,/� �„Lj , ��U <br /> (he .�-.-r�.t� �//6GfJ• /y OD <br /> r=�LC� l�i/E.a... �r.:.,�/ CHART � I/- �`�'.l <br /> 3) DRIVF.�SAY PERMIT TO BE PAID BEFORB SUILDING <br /> P�RbfIT IS ISSUED :�� FT.cf�iC%���G'`' D/W (TYPE) $ ;! .`��7:� <br /> TOTAI.* $ �-- <br /> 4) STATL)S OF SEWER CHARGES�,{, ��I(�; <br /> BO:ID �,,,L�. DISTRICT :.-U FOOTAGE -" <br /> N, S, E, W. <br /> NUTES SEN'ER COYNECTION CHARG�S: <br /> YEAR _ TRUNK $� '.':, .�; ;` ' <br /> LATERAL S_S% .'� . �-r'i�i <br /> . TOTAL CONNECTICN CHARGE /$ ���;' . �C"J <br /> SE{�TEJt PERMIT FEE ��.��� � � '�, <br /> ' � " $ �G• ��� <br /> � ' <br /> � J'�� �� � <br /> CATCH BASIN PERMIT FEE �;_ ' � -- - <br /> ' � . �„�,' �- <br /> TOTAL SEWER PERDSIT FEES:;•--" '�, $ �t``--• ��' <br /> 5) :;�`.::; �'_' SLIiER CHARGES: • _ <br /> SEWER CONSTRUCTION: <br /> TRUNK $ � ' <br /> LATERAL $ �;'. `�S <br /> SEWER SERVICE: S �'�, ;:�^ <br /> , � <br /> APP2D\. :O�iiTION OF SIDE SE�4ER OR TEE IN THE MAIN: - �'�<s <br /> �� Nf.f�� ;i�.�.'%�: f��,, —_'. �— <br /> ��� CHART �j_'�t��.- <br /> :tiFO CO?:PL?,ED 23y; . : <� ,�:� 1..� !/.ft•-�t��. • DATE ;; - ,:`- <br /> - �:_� <br /> REV I Et4: DATE <br /> YRUJECTS Dl\�ZSSt�;7 �`--"' <br /> APPFOVAL: ____ DATE <br /> FNGIi7EF'RING DEP.�RTDSEIJT ' -- <br />