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, <br />ENGINEERING DEPARTMENT <br />BIIZLf)ING PERMIT ZNFOI2MATION <br />(�, :. �� �` ,..,r <br />ADDRESS�%r9 "' � / ' .S�' �•� • TYPE :i �l'"'�'� �. <br />1) BUILDING PERMIT FEE pL �•"` ?! �"�' $ �`� r' r�> <br />.� .�, �_ = <br />(A) PLAN CHECK FEE $ ?'� ' `� <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMZNED BY PLBG. INSP <br />_J � I:QCH <br />$ 2f'.�J.� �� <br />(B) EXIST. -- WATER SERVICE, APPL. N0. -- ��J <br />(C) APPROX. LOCATION �✓�� �% ZS � SQ, ��� G� �S it.! <br />/ �� �( / <br />�dy„yD. �:,s-'• i� - E. � l k� • /� . CHART � Cv � �• <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED � FT. S� D/W (TYPE) $��• ✓�a <br />TOTAL* <br />4) SZAPUS OF SEWER CHARG;:S: <br />BOND ,�. DISTRICT �� FOOTAGE <br />N, S, E, W. <br />SEWER CONSTRUCTIUN: <br />SEWER SERVICE: <br />AFPROY. LOCATION OF S <br />INFO COMPILED BY: <br />, � , <br />r., `h <br />REVIE��': ��. C � <br />SEWER COI3NECTION CHARGES: <br />YEAR T% TRUNK <br />S <br />S /9, S.�O_ <br />TOTAL CONNECTION `�CHAk6�/7� S .�9-� � <br />SEWER PERMIT FEE S �•�O <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMZT FEES <br />OR TEE IN T <br />� J`—/ �'` <br />� — PROJECTS DIVISION <br />APPROVAL: ����' • ^ � <br />ENGINEERING DEPARTMENT <br />TRUNK <br />LATERAL <br />��••� � <br />runum v _ <br />$ <br />: ,s ✓ s <br />s /•iss <br />S '— -- <br />s�. S'c� <br />� i i. . _ /� .vi . <br />DATE_ _ <br />DATE---��---s�-G -- <br />* This r_or_a' musr_ he na i A hPFnro ti�.+ i a: �� ��^^� �'� �--•�-' <br />