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ENGINEERING DEPARTMENT <br /> BUILDING PERMIm INFORMATION <br /> � �. � . r, � .;.i ,Y, f� <br /> . �^' . <br /> ADDRESS �>=,� ..:�rr` j ` ��=% �;" •- ' TYPE ., Y. <br /> 1) BUILDING PERMIT FEE �U�('�C�-�J $ IZ.� � � <br /> (A) PLAN CHECK FEE $ �0 3•S�T <br /> 2) j4ATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED $ �������'• 1����` <br /> ,�� i <br /> (A) TO BE DETERMINED BY PLBG. INSP. • �� "� INCH <br /> !B) EXIST. �--- WATER SERVICE, APPL. NO. -- <br /> (C) APPROX. LOCATION r '` �' •,' -' I� � 1�+� ? <br /> !./+- '�--�,i�� <.'r'`�I',�:-' .,1 CHART 1�- `.�'�.,f� <br /> 3) DR7�'EWAY PERMIT TO BE PAID BEFORE BUILDING <br /> PERb1IT IS ISSUED'I•^I� FT. Gx:' D/W (TYPE) $ /�"J • ��� <br /> TOTAL* $ �t�"� ' S� <br /> 4) STATUS OF SEWER CHAR�ES: , � <br /> BUND ,� DISTRZCT �l FOOTAGE ��� <br /> �; S, E, W. <br /> ��=iwb ' NOTES SEWER CONNECTION CHARGES: � <br /> �' `�;�x „ YEAR f C� TRUNK $ �-' � _ • o=�CJ <br /> �� - 3�(IP - oos - o I -� <br /> �3 � , �. � y s sp�c,-a.�o <br /> T ° :' �' TOTAL CONNECTIO��E� S O .�?• � �Z �� <br /> SEWER PERMIT FE� S '"�' � I <br /> CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER PERMIT FEES $ �'�� <br /> 5) idONT9LY SEWER CHARGES: <br /> SEW'3R CONSTRUCTION: <br /> TRUNK $ � ,�� <br /> LATERAli $ -� `�Q <br /> SEWER SERVICE: $ ���'TGf�� <br /> APPROX. LOCATION OF SIDE SEWER OR TE� ZN THE MAII�: S 1.•�iri '�d� /�-i'�' R'•�. <br /> �� .�>'lh ��y. �' <!//e., Gv c� .5.�, r' s .�_r.,:�ib !/� -L"��� N7• , V z ¢.� ° �-�v /� . <br /> 2 ° c=/e.c. ., ��- t:M:�' s,�- cf/y� CHART , —:G '_ <br /> INFO COMPISIED BX: � /�@,,.c.wj ��+z,o ./r'� � • DATE �-�f^ �j�0 <br /> �..: ��J ,/ ,' <br /> REVIEW: ��I " �'I���l� � DATE <br /> � PROJECTS DIVISION <br /> APPROVAL: f �--T.i ����/�,/� DATE � iG <br /> ENGINEERING DEPARTMENT , <br /> * This total must be paid before building permit is issued. <br />