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ENGINEERING U�..�RTt•1CNT <br />HUILDICIG PERMIT INFORMIATIU:I <br />ADDRESS �cS �I • %� ✓ �� ' �7��1�� TXPE <br />f <br />1) BUILDING PERMIT FEE ��`�r •- �� � <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BF. PAID BEFORE BUILDING <br />PF.RMIT IS ISSUED , <br />(A) TO BE DETERIdINED BX 23,SG. i'NSP. - �. INCH <br />(B) EXIST. h'ATER SERVICE, APPL. N0. <br />$ /�1s, oc, <br />$ '/: •r.� <br />(C) APPROX. I,OCATI�N 2" G—i j' /y�.yt-�-,x ^_,���-� ci}- <br />w (>? �. CHART N— I 1 lp <br />3) D�IVEWAY PERMIT TO BE PAID BEFORE SUILDING <br />PER�IIT IS ISSUED `L-r FT. r;=d'''=ri�(y D/W (TYPE) <br />TOTAL* <br />4) S:nTUS OF SES+TER CHI�RGES: • <br />BO:dD DISTRICT FOOTAGE <br />N, S, E, W. <br />SEW�R CONSTRUCTION: <br />SEWER SERVICE: <br />APPR�\• LOCATION OF SIDE SEFTER OR <br />r�;•r t.•�. T-� _. c i- ... L t� <br />INFO CO?:PILED BY: <br />SEWER COI7t7ECTI0N CHARGES: <br />YEAR � �' TRUNK <br />I.ATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PEc�i•:IT PEE <br />CATCH BASIN PERbSIT FEE <br />���.^JG <br />31. oc, <br />y. � c. <br />.1 <br />$ <br />$ 47� �>" <br />S <br />TOTAL SEWER PEI2hiIT FEES S N��� ��� <br />TRUNK $ � <br />LATERAL S <br />$ i 1/.'l. i'c'.? °'t. , .. _ <br />TEE ZN THE MAIN : r.`. ,. •> - �3" N; �� � �; <br />L�:� `' , - <br />REJI£i�: <br />� PROJECTS DIVISION <br />APPRO�'�L: <br />F,NC;INf3RP�NG DEPARTMENT <br />DATE <br />DATE <br />DATE <br />