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� <br />ENGYNEERItdG DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADARESS Q Cj i •s. ���� S t. S. W <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />_ �, <br />Z) TvATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ZSSUED <br />(n) TO BE DETERMINED BY PLBG. INSP. _L� INCH <br />u <br />$ I =�� d . c� c: <br />S � t <br />S z n . ,;,'; <br />P�e_-� �� . u') <br />'`.� 4 :_�-' i <br />(B) EXIST. "—' WATER SERVICE, APPL. N0. -- <br />--- �'�c,l. <br />�(C) APPROX. LJCATION W��� Mein runni.�J 2S � S.E, it� <br />� o f� R° S f_ S. LV .'� 3D�CHART �,v - G� <br />3) �:;': i.�ielY PERMIT TO BE PAID BEFORE bUILDING <br />?: �':ii IS SSSUED 2; , FT. e � D�W (TYPE) <br />Torai.* <br />a) 5;;:':_S OF SEWER CHARGES: /n_;- <br />.,:.:.J� DISTRICT / Q FOOTAGF �� <br />N, S, E� W. <br />7�-l�I-Zs���l <br />� :vo�rEs <br />� � GJa �' Ylo�uJai l4Gi�e., l�(:�51 <br />I ,y <br />1^ U V�.. a I G t'�ci .7 .3 Yd 5 l�% R� O- L(�, <br />y !{GYL`55 �G'i��( l�rc�er•� <br />I ( j <br />�'�, �v�t'�'� ✓lOW lK.i1S�t[ilfl <br />��Q,{- � hroc255r��� , <br />; IV <br />;. _'._. : SEitiER CfL'�RGES: <br />SE4.TER CONSTRUCTION: <br />SEWER SERVICE: <br />SEWER COHNECTION CHARGES: <br />YEAR ' 7 6 TRUNK <br />P`Q ` �C�zE�`� <br />'i'OTAL CONNE IOA: HA GE <br />S <br />S P.LS. DU <br />$ SZI .21 <br />S R4G ,Z� <br />I SF.i+IBR PERMIT FEE $ 3� .� G <br />I CATCH HASIN PERMI'f FEE c�, i, $ � <br />TOTAL SEWER PERASIT FEES <br />... .._.. ". '�'�TIOY OF SIDE SEWER OR TEE IN <br />� � E._e <br />_��.. �s., <br />T.... . _ <br />Ai��.� ... <br />anaa,...• , <br />BY: <br />ION <br />TRUNK <br />LATERAL <br />i' <br />�' . <br />� �'7�., n <br />MAIN: , <br />��•95- �Pd��'r/.�'� <br />5 �D. o 0 <br />S /.8� <br />S � . 7.�' <br />S Mrferc��✓ <br />DATE <br />nwTO �' /%,^7�/. <br />� �' ((/ <br />��d/� <br />