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I•'OIZ CITY USE ONLY - <br />ENGINEERING AND COMMUNITY SERVICES <br />BUILDING PERI4IT INFORMATION <br />ADDRESS ���Q Q� (?� �,T02F &X= TYPE _�f <br />1) BUILDING PER"11T FEE 0,000 -w S ZZT D <br />(A) PLAIT CIIFCI, EE $ <br />2) PLUMBING <br />$_ —7SeOU <br />3) MECIIA141CAL $ -z� Qv <br />4) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PF.RIIIT IS ISSUED <br />$_ <br />(A) TO BE DETERMINED .BY PLBG. INSP. I ?NCH <br />(Ili EXIST. .WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION 8r' G.Z, -ryT�J Mai /SPp�p <br />Wer"OR6 CHART <br />5) DRIVEi9AY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED FT. D/i•7 (TYPE) $ <br />6) STATUS OF SEDER CHARGES: 10TAL $ <br />BOND `DISTRICT —" FOOTAGE <br />N, <br />NOTES SEINER CONNECTION CHARGES <br />- YEAR TRUNK $ <br />LATERAL; $ <br />TOTAL CONNECTION CHARGE$ <br />SE'?ER PER41T PEE $-6c),00 <br />CATCI{ BASIN PERMIT FEB $ <br />_ OTAL SEWER PERMIT PEES$ 2)0'U� <br />7) MONTHLY SEWER CIIARGES: �.Lr/Pqv <br />SEWER CONSTRUCTION: TRUNK $ ---� <br />LATERAL $ <br />SEWER SERVICE $ h�J�]7Z�-77 <br />APPROX. LpO�CAT-17O!N Or SIDE' SEWER OR TEE IN THE MAIN: 8 MAI �p� <br />INFO C0:1^ILFD BY: <br />APPROVAL: <br />CHART <br />DATE <br />DATE <br />