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J <br /> � <br /> ErGINEERING DEPARTMENT � <br /> �� BUILDING PERMIT INFORMATION <br /> ADDRESS � / � � /�� r'� �f��. LG� TYPE �j ,��_ <br /> --�-i� — ! <br /> 1) BUILDING PERMIT FEE $ ��� �� ! <br /> (A) PLAN CHECIi FEE $ � y� � <br /> 2) WF,TER SERVICE TO BE PAID HEFORE BUILDING � <br /> PERMIT IS ISSUED $ /_� OO j <br /> CG' i <br /> f <br /> t:v) TU ?3E DETERMINED BY PLi INSP. .�•� INCH PL��i[-. 3\. Oc� � <br /> F-+�lL�� L"I . O v I <br /> �B) EXIST. WATER SE: �Ii,E; APPL. NO. <br /> (C) APPROX. LOCATION �'�j(j, ,.? � j�, p�C �``,� ' � <br /> /C� Z � �: lv'' '�" --�''U7'� ; <br /> --_d�'� . �'� /�/-/iJ CHART � ._ •' � <br /> 3) DRIVEWAY P�T Tp BE�PAID BEFORE BUILDING <br /> PERMIT IS ISSUED �_ FT. Ge n C • D/W (TYPE) $ , �-r"Q � <br /> _ , <br /> C�j p q' I <br /> TOTAL• $ ��$"� _ <br /> 4) STATUS OF SEWER CHARGES: — � <br /> BOND � _ DISTRICT �C� FOOTAGE -.__ � <br /> N, S, E, W. � <br /> r � <br /> NOT�S SEWER CONNECTION CHARGES: 2 /D• �� � <br /> YEAR TRUNK ��,G ' <br /> 3'"ZCJ- l�{(o - 00 � $--Z-r=_s���_ `t <br /> r <br /> T $ 2/C� . po- i <br /> TOT CONN i O�f��F�ARUE /��_�+ .^ � <br /> $ /i -v-� <br /> SEWER PFRMIT FEE $ �. O�� � <br /> CATCH BASIri PER6IIT FEE $ � <br /> � TOTAL SEWER PERMIT FEES $ �Q, � ! <br /> 5) :�IONTHLI S�WER CHARGES: - <br /> SEWER CONSTRUCTION: � <br /> TRUNK $ �,�� j <br /> LATERAL $ {� <br /> SE'r1ER SERVICE: $ Z• S•� _ ± <br /> APPRO};/. LQCATION OF SIDE SEFI�R OR/+TEE Iit THE MAIN: i <br /> N'. /d 7� �/a: ;,. �7 ' �. 07`' L✓ ,/i�- �v+.�-C. `>. .�� '-� � . <br /> CHA Y' / _. ^ _ I <br /> INFO COMPILED BY: � DATE � -Z�p-7,(� <br /> � REVIEW: �i i <br /> DATE ! <br /> PROJECTS DIVISION <br /> APPROVAL: l DATE����' <br /> ENGINEER NG DEPARTMENT <br /> * Thic tntal mn�t ha naiA hnfr,ro 1.�,; iq;.,,. : � ' . <br /> ..,...... . .. . ......,,a <br /> � <br />