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a <br />�_�`�� f--1�--�'-� <br />�. <br />ENGINEERING DEPARTMENT <br />BUILDING PERb1IT INFORMATION <br />ADDRESS 'i i 1"'� S' e`�. a_� �: ."_ r' l� J TYPE .i <br />1) BUILDZNG FERMIT FEE 4�� �QQ• �� <br />(P) PLAN CHECK FEE <br />S �-Z�t�� <br />$ � O <br />2) WATER SERVICE TO BE PAID BEFORc^� BUILDING <br />PERI�7IT IS ISSUED $ �•��• ��' — <br />(A) TO BE DETERMINED BY PLBG. INSP. %�J'�,� INCH ���4' ��` �� <br />- , M�-� . -1 �,,r, <br />(B) EXIST. " WATER SERVICE, APPL. N0. <br />fC) APPROX. LOCATION y� �?_ -r�;d �� -? s� � f� ri� `%C ��� _ <br />�! 7-r-' �'J� ;� ftf _ CHART V�/ � � <br />3) DRIV�WAY PERMIT TO BE PAID BEFORE BUILDZNG <br />PERMIT IS ISSUED 'L'e FT. p+'i.�S* D/W (TYPE) $ ;!• ��� <br />4) <br />TOTAL* $ � I� . "��� <br />STATUS OF SEi+IER CHARGES: <br />BOND��_ DISTR.T.CT :`--� FOOTAGE ���(v� 5 ��% � <br />T7 , ° , E , W . � �'% �.� L, ,�''% G'�l�.�rL_ <br />� � <br />e,� <br />SEWER CONNECTION CHARGEj� Y7;S <br />YEAR �' � TRUNK / � ���� _L4 G, '_ `'. J <br />��— <br />� � �,. <br />LATERAL LiC ?n�s $/,.:' �-�-�i/"I., <br />Li,7�69/'si9R«<,t •t� .. <br />TOTAL CONNECTION CHARGE, �,�rr $ ��"'�D' <br />S, v� <br />SEWER PERMIT FEE $ �• dd <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT PEES <br />TRUNK <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />a`G 7. ~ r T � U1. "-p-. ., t_C' _� � Lt./ ,� y� �`� :';� .c 7t <br />INFO CUMPILFD BY: <br />REV I EYd : <br />PROJECTS DIVISION <br />APPROVAL: <br />ENGINEERING DEPARTMSNT <br />$ <br />� "°�o . �o a <br />$ /.!'S_ <br />_ � <br />$ -'�- <br />n � <br />�� <br />�e�' •a..Z9- <br />DATE �/ ; <br />DATE <br />DATE <br />* This tutal must be paid before building permit is issued. <br />