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ENGINEERING DEPARTMENT <br />, <br />BUZLDING PERMIT ZNF��RMATION <br />ADDRESS ' ' �� � ~' i•� S,Tfi�%�- �• <br />1) BUIiDING PERMIT FEE :� � Z� Z+ `��U <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE BETERMINED BY PLBG. INSP. 3�� INCH <br />;� 7- � ( <br />/ /l/1 <br />�i � 5 �7� <br />- �.� <br />TYPE ;���--�,�a� <br />s � J`�/-•`� <br />$ �— <br />(B) EXIST. WATER SERVICE� API�. N0. <br />(C) APPROX. LOCATION � �� C•.� Z�" ��'. � <br />�T%�7/ C ST CIiART /i/^ rP�� <br />3) DRIVE[9AY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED —�FT. D/W (TYPE) <br />,jy= �' /�LL E � ' <br />TOTAL* <br />9) STATUS OF SEWER CHARGES: / / <br />BOND ` DISTRICT --- FOOTAGE ??cr-"f'�-�l'ti�" <br />N� S, E, W. <br />SEW�R COt�STRUCTION: <br />SE{4ER SERVICE: <br />APPRO\. LOCAT <br />/,�: ,�'l.r'>. <br />INFO COb1PILED BY: <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMZT FEES <br />OF SIDE SE R OR TEE IN <br />z� nt� 5� f Gz. �/.•,i <br />$ �� �J . �%� <br />$ 354-�t' <br />TRUNK $ '---- <br />LATERAL <br />� <br />,"tA� �. 5.=� <br />$ '--- <br />S?�ru� :'t��' <br />' i�-3 �• <br />!'�'" - liC/-' G 7 �J <br />DATE �—/4���z'�; <br />REVIEW: ' DATE <br />PROJECTS D VI ION <br />APPROVAL: � DATE_ � /�� <br />E �E I G DEPARTMENT <br />* Thif� tOt.dl IfltlSt he naiA hnfnro Y,,,;IA :.... ..........� ,,. .,.,.,,_� <br />