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. . <br />ENGINEERING DEPARTMENT <br />BUZLDING PERMIT INFO.'2MATION <br />ADDRESS `�� f� C� r �!' S--� !`"� l� . .� . i 4`: --TYPE <br />1) BUILDING P�RMIT FEE �1� �TjQ • �a <br />(A) PLAN CHECK FEE <br />2) WATER SF.RVICE TO BE PAId BEFORE 9UILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMI[IED BY PLBG. INSP. �� INCH <br />. ,._�� <br />;�, <br />$ , ��, �v <br />$ _�-- <br />$ ,. �, � r, <br />P�G,. ���.�, <br />MF�� g . � <br />(Bj EXI.ST. -- WATER SERVICE, APPL. N0. '�� <br />(C) APPROX. LOCATIGN q��/k{G�n /d s�. o?' � D% 3`�d=�Vi�1, Sli�. <br />/� � t <br />S�"e,. L .3 � i// n t' ,� �L. �r 5� � S . „ t� .�. ! CHART BR/ � ?S <br />3) DRIVE6VAY PERMIT TO B�j PAID BEFORE BUILDING <br />PERMIT IS ISSUED _'�{�I FT. _ D/W (TYPE) <br />�"\� �'Z� IT� i * <br />4) STATUS QE.S�WER CHARGES: <br />EOND .s•'a�' DISTRICT FOOTAGE """'- <br />N, S, �, W. <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />APPROn. LOC�iTION <br />q • T^' :. ) ' . ' p:, <br />INFO COA1i.'ILED BY: <br />SEWER CONNECTION CHARGES: <br />YEAR �'i (.'. TRUNK <br />TOTAL�COI�NEC�PI��HARGE <br />S�WER PERMIT FEE <br />C.i'PCFI BF.SIN PERMIT FEE <br />i�iTAL SEWER PER^1IT FEES <br />TRUNK <br />LATERAL <br />SIDE SEWER OR TEE IN TFiE MAIN: <br />�.! .I.� ...'SL,�.: ra..•C. � (it� i� r t" ; !7 <br />REVIEW: <br />PROJ�CTS DIVISION <br />APPROVP.L: <br />E.IGINEERING DEPARTDIENT <br />$ _. <br />$ l "�� t^�a <br />$ �._._.._._ <br />$ � 1'i JG <br />$ :5v. C`�Z:• <br />$ :�i �� � L-' �' <br />$ <br />$ '1. , i'��1 <br />T <br />"�' n )(7 �."/ S'� i'�,� � !.'f�. <br />� '=a 9 - Z 4 -- .�1 <br />DATE .%'!�."p ,��', , <br />DATE <br />DATE <br />* This total must be paid before building permiY. is issued. <br />