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ENGINEERING DEPARTMENT <br />BUILDING <br />PERMIT INFORMATION <br />ADDRESS ZZ-122� � 4r- 7Td � Ste' TYPE <br />1) BUILDING PERMIT FEE ��, ZS`Z7 e <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING $ ZOD. OD <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. 3�l INCH <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION �4 i"� �a '='• <br />CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED - FT. - D/W (TYPE) $ <br />Q [ l•= /ACC.- C 7 TOTAL* $ i / ' Du <br />4) STATUS OF SEWER CHARGES: o <br />BOND DISTRICT FOOTAGE__oL -Z­q40LOf <br />N, S, E, W. <br />F <br />5) Fo.'I iLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERJICE: <br />ATI <br />INFO COMPILED BY: <br />OF ,SIDE SEWER i <br />s[ c;,? <br />SEWER CONNECTION CHARGES: <br />YEAR <br />i'/, <br />TRUNK' <br />— <br />LATERAL <br />$ <br />TOTAL <br />CONNECTION <br />CHARGE <br />$_ <br />SEWER <br />PERMIT <br />FEE <br />$'�� <br />CATCH <br />BASIN <br />PERMIT FEE <br />$ <br />TOTAL <br />SEWER <br />PERMIT FEES <br />$ <br />TRUNK $ <br />LATERAL $ <br />IN THE MA N: <br />��y <br />� - <br />fdhFQs <br />REVIEW: DATE <br />PROJEC S DIVISION <br />APPROVAL: DATE_ — <br />IN LEHINU DEPARTMENT <br />This totalmust hP naiA hofnrn ti,,::a<^^ --• <br />