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y/ 5! �� <br />q_� � — l �� -3�� <br />� I � ENGINEERING DEPARTMENT :�'�/�� <br />BUILDING P�RMIT INFO_TtMATION �' <br />/� .`r <br />ADDRESS� - `. C�� '� �!. ...�. �c.: °� TYPE �'�'-'="�, , <br />1) BUILDING PERMIT FEE $�l%�, �1 Q <br />(A) PLAN CHECK FEE $�SS�, O O <br />2) WATER SERVICE TO BE P�.ID BEFORE BUILDING <br />P.ERMIT IS ISSUED <br />(A) TO BE DETEi2MINED BY PLBG.,INSP. J��1 INCH <br />(B) EXIST. r WATER SEF.VICE� APPL. NO. --- <br />(C) APPROX. I,OCATION � �� -�T.�. ��F � /1.J. � <br />SS� �� Jf� �. �c,/�. CHART �p..�-• C:`,.•f� <br />3) DRIVEWAY PERMIT TO B PAID SEFORE BUILDING <br />P�RMIT IS ISSUED =� FT. /.;��� D/W (TYPE) <br />� / I <br />TOTAL* <br />4) STATUS OF SEWER CHARGES: <br />BOND_�_ DISTRICT_� FOOTAGE �'�"'- <br />N, S, E, W. <br />"� '( � — ZS6 _ c� v <br />SEV7ER CONSTRUCTION: <br />SEWER SERVICE: <br />APPROX. LOCAT30N <br />� f ., ^ _. <br />: o <br />INFO COtiIPI ED BY: <br />x�vzsw: y�� <br />APPROV <br />$ !�/; ,.r,.^ <br />— �_ ., <br />Y <br />SEWER CONNECTION CHARGES : � � �r' C)U <br />YEAR A� °� TRUNK o.u�Y' $ � r' <br />LAT��j �j� $ �` —, <br />TOTAL CONNECTION'CHA�B' 7� $�� 195t-" <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />OF S,IDE SEWER OR TEE <br />TRUNK v.vti�' <br />LATERAL <br />THE MAIN� ,-C�--7+`%''L <br />�—. �,..�` TV 2 <br />� '�H�AJRT � <br />,(J /r�i DATE y�. <br />s � c:�l: <br />$ <br />S �-�. GC? <br />s ��� � <br />$ �_—n— <br />$ �%'..5� <br />m <br />DATE �'����- ��' <br />* This total must be paid before building permit is issued. <br />