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1 <br />ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS_y�'"OYS� �rin/C T �-�/F TYPE <br />1) BUILDING PERMIT FEE (vs 7�� � <br />(1�) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE HUILDING <br />PERMIT IS ISSUEQ <br />(A) TO BE DETERMINED BY PLBG. INSP. � INCH <br />IB) EXIST. WATER SERVICE� APPL. N0. <br />(C) APPROX. LOCATION <br />CHART <br />s l9-00 6 <br />SfQ_�S <br />S Z 7s� `� <br />%�y. � �� cx� � <br />/1.�/�� , � i • �..� � <br />-- ' i <br />_ t <br />?) DRICES•7AY PERMIT TO BE PAID BEFORE BUILDING <br />PFR�:IT IS ISSU�D�L-rLS FT. ,��D/W (TYPE) <br />TOTAL* <br />4) S;n'PUS OF SEWER CHARGES: <br />IIO:CD___ DISTRICT FOOTAGE <br />N, S, E, W. <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />SEWiiR CONNECTION CHARGES: <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASZN PERMIT FEE <br />TOTAL SEWER PERAIIT FEES <br />TRUNK <br />LATERAL <br />APPROK. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />$ /�� � 00 i <br />/_ f <br />S CL%2' `.� ' <br />S <br />S <br />$ <br />S <br />$ <br />$ <br />S <br />$ <br />$ 2 ' `��� <br />CHART — � <br />INFO CO};?ILED BY: DATE <br />F <br />R?:VIEk: DATE � <br />FROJECTS DZVISION !' <br />F. <br />RPPROI'AL: _ DATE � <br />ENGINEERING DEPARTMGNT Y, <br />e <br />