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� ENGIN�ERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />r ADDRPSSS .'i: ' :x ;� ; ' _ : , � r T" ; TYPE . <br />0 <br />1) BL`ILDING P�Rh1IT FEE <br />(A) PLP�:d CHECK FEE <br />E� <br />2) WATER SGRVICE TO SE PeyZD BEFORE BUILDING ��� <br />PERPIST IS ISSUED �'�n $ � <br />:.� i��2/(,. <br />(A) TO IIE DETE^,MZNED BY PLBG. INSP. ��r INCH 4 y, <br />(B) EXIST. "' – WATER SERVICE, APPL. N0. -- - <br />, <br />(C) APPROX. LOCATION ;;'.n,,.;'�+ /^� p�i :'.: ' ��.�s�err T)P."' __ . <br />.. -•—� 1 <br />�rr'.f.J ":,2. fc�f I� S. cfi i� ��4 .,� i ni�'.9:� CHART S_=i?'_�:t{_ <br />3) DRIVEWAY PFRMIT TO BE 2AID BEFORE BUILDING <br />PEF2MIT IS ISSUED �_.1_ FT. �S �� Fr _ D/W (TYYE) �% � i� $ / ' . '. c�— <br />- ` / � �14 <br />TOTA * ,�$ <br />�/,� ,_. 4" '. <br />9) STATUS OF SEL+IER CHARGES: �f�rr �2 �.�• <br />IIOND DISTRICT FOOTAGE r- __ <br />N, S, E, W. <br />SE�9ER CONSTRUCTION: <br />SEWGR CONNECi'ION CHARGES: <br />]EAF '�. C.. TRUNK $ <br />LATERAL $ <br />TOTAL CONNECTION CHARGE �.,$ <br />A4/ � <br />� " ` <br />SEWER PERI•SIT FEE .�' o $ fi� p OO <br />Y/v�G �C".. __�_ <br />CATCH IIASIN PERIdIT FEE $ <br />TOTAL SEWER PERMIT FE�S <br />TRUNK <br />LATERAL $ "-- <br />SEWLR SERVICE: $ 2• r� <br />�; ^'' � <br />AP�PtROX. LOCATION tOF SIDE SEWER OR TEE IN THE MAIN: �'" sk m� �`rT� "�� � <br />c`T Ai i' i - T� r, r'- i T M $�,r. <br />i :1� rn/+r� it�:��r n n h� ��P�,r'i-' .�-- <br />� CEIART T 3 /–,7 ^t ^ �–' <br />INFO COMPILED BY: �''=A�,i�'..r`:� DATE "�_..'"�'..�=���"'–S ��zl'� <br />REVIE[�: <br />PROJECTS DIVISION <br />APPROVAL: <br />ENGINEERING DEPARTMENT <br />DATE <br />DATE <br />* This total must be paid Uefore Uuilding permit is issued. <br />