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ENGINEERING DEPARTMENT <br /> BIIILDING PERMIT INFORMATION <br /> AnnxEss i/ .�G' �rrET'it�l�,E'F TYPE -%�•� <br /> 1) SUILDING PERMIT FEE $ � <br /> (A) PLAN CHECK FEE $ ,,f� a <br /> 2) WATER SERVICE TO BE PAID BEFORE SUILDING <br /> PERMIT IS ISSUED �� $ —O — <br /> (A) TO BE DETERMINED BY PLBG. INSP. INCH �R 3�y -g� <br /> (B) EXIST.� WATER SERVICE� APPL. NO. L'�63 (�Ns{, /Q3b� . <br /> (C) APPROX. LOCATION �` � �� N. G�� <br /> �I'.�t_.�. 6� . <br /> .Q�o-FIGGC+� G�.r� CHART /V—IZ� <br /> 3) DRIVEWAY ERMIT TO BE PAID SEFORE BUILDING <br /> PERMIT IS ISSUED /� FT. ��r9!%'b/W (TYPE) $ � SG� <br /> TOTAL* $ <br /> 4) STATUS OF SEWER CHARGES: / <br /> BOND — DISTRICT -- FOOTAGE�sZs-ttafi..-r_..c' <br /> N, S, E, W. <br /> NOTES SEWER CONNECTION CHARGES: <br /> �2�/ 4�✓ I � I • aYEAR �� TRUNK $ -- - <br /> (,(�cL �2vU�C.2 A�Ju� « � cp Eu,D <br /> ��� c�jzpK Y�' r' l � _ `�Q /u j/� �lsy/k�E+LATERAL $ —_' <br /> �,�i eq d c.t� t <br /> I TOTAL CONNECTION CHARGE $ <br /> I i+ ��.v� <br /> SEWER PERMIT FEE $ ��� <br /> CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER PERMIT FEES $ �•� <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> TRUNK $ ' <br /> LATERAL $ <br /> SEWER SERVICE: $ �_ �Q <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE. MAIN: �:j/,�,cji,';�.; S.,S, �ip-�,y <br /> rj"`'���.;.;- ..T. •. , . � lr..: ,: _ ,,7r�4 �,L ,��r�,c. r <br /> � � ��l�ci+•1 �"b� 1��1 -r <br /> � � e - s�� ���. � �- ao �sT� , CHART ' — '-- — _ <br /> INF COMPI • BY: `.'s.c^�/,,ac�'•r �Ij(rt 1 z5 DATE 2- 2l�'• !'4 <br /> � ��� �� ` <br /> REVIEW: DATE <br /> PROJECT DIVISION <br /> APPROVAL: v ��j�i,/� DATE `2i? __ <br /> ��ENGINEERING DEPARTMENT <br /> * Tliis total must be paid before building permit is issued. <br />