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ENGINEERING DEPARTMENT <br />BUII,DING PERMIT INFORMATION <br />� `/ <br />ADDRESS__ L � "" .'.� � `� � . S. i'V <br />1) BUILDING PERMIT FEE �J'�'` <br />(A) PLAN CHECK FEE �='�� tn`J �� v <br />2) WATER SERVICE TO BE PAID BEFORE BUILDIhG <br />FERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. �� INCH <br />(B) EXIST. WATER SERV,'^.E, APF:,. N0. <br />s.�-:,�7 <br />$ �.`�t c�� <br />� <br />S r� �, ,.:, � <br />S ��'� G�C <br />(c> APPROX. LOCATION 5�,�.�_,,�����: 30 �;=-w, g.! ,�c ���� <br />�iLp"%a'� lp �� C � /�AfN �S � S�. L" S�S��� S.I�O�'HART /_ / /� <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED %�_ FT. ,�'::,r'a. D/W (TYPE) $�� �� <br />TOTAL* $ <br />9) STATUS OF SEWER CHARGES: <br />BOND_� DISTRICT %yn FOOTAGE ----- <br />N� S, E, W. <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />APPROX. LOCATION OF SIDE <br />INFO COMPILED BY: <br />RfiVZE[�': � <br />APPROVAL <br />SEWER CONNECTION CHARGES: <br />YEAR � TRUNK <br />� . T--S�RAL <br />TOTAL�✓CONNE T ON CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER :ERMIT FEES <br />TFUNK <br />LATERr1L <br />OR TE'E IN THE <br />1�x..C� . -�i/ � <br />$ � ,�� �J . C%G <br />s/�S C�.,.. <br />s 30. oa <br />$ �--- <br />s ..20.+� <br />$ /• /_S <br />$ �_ <br />s �.SO <br />�3' '�'f : �+• <br />- /� . <br />��7��'i <br />DATE 3 ��/ <br />* This Y.otal must ha naiA hcfnro r,,.;ia:.,,. .........:� _.. ___.._� <br />