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� <br /> � <br />� <br /> I <br /> . � <br />� ' - <br />� ENGIN�ERING DEPARTMENT /!D �� <br /> BUILDING PERMIT INFORMATION � <br /> i AnDxESS1��/�"_'_ �•�pt� ,.�'GC.1 ' s- �- `'I� - <br /> TYPE��� 7Ff�7+�+7 <br /> 1) BUILDING PERMIT FEE T- <br /> (A) PLAN CHECK FEE $ <br />� S <br />` 2) WATER SERVICE TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED $ i�' �S. �y� <br /> (A) TO BE DETF,RMINED BY PLBG. INSP. � „ INCH <br /> (B) EXIST.� WATER SERVICE� APPL. VO. �9,3� <br /> ;C) APPRQX. LOCATION �� �!:I. �9 � �' �L <br /> � ��/��. _�__ �CHART t�� � <br /> 3) ilRIVEWAY PERMIT TO sE PAID Pc^,fiORE BUILJING <br /> I PERMIT IS ISSUED 1� FT. �C• DjW (TYPE) $ . SD _ <br /> i " <br /> TOTAL* $ <br /> 4) STATUS OF SEi,TER CHARGES: /J <br /> HOND �----pISTRICT ---� F00'iAGE ��'t��C <br /> N, S, E, W� <br /> � <br /> NOTES SEWER CONNECTION CHARGES: <br /> 2 YEAR �G TRUNK $ <br />� � ��� �.B'YLYI. � {�G I�, t- S u�t� ai�• Cou;.� <br /> "� '� �� c.on�t CA �1q Ik i� � CB �� LATERAL $ <br /> . TOTAL CONNECTION CHARGE $ <br /> i SEWER PERMIT FEE � $ , QO <br /> I <br /> CATCH BASIN PERMIT FEE �i�c $�30� <br /> TO'PAL SEWER PERMIT FEES S� I3� <br /> 5) D10[dTHLY SEWER CHARGES: — <br /> SEWER CONSTRUC7ION: <br /> TRUNK $ � <br /> LATERAL $ <br /> SEWER SERVZCE: S. S� $�L�"�- <br /> A �P��:. ZSAT7,ON Q�S��$ SEWER OR TEE II,1 THE MAIN: ��-�� S, �?/� <br /> � /h���__:-t' of �rp 9w .. �-o S. sv�*-� .t,.�. �• �, '� <br /> [ �� CHART � <br /> IN'r'0 COMPILED BY: � � DATE - 'Z(i- 7� <br /> i <br /> REVZE�4: `�v DATE <br /> PROJECTS DIVISION �y�oa,eOi/,¢L <br /> �_��� /l�/` �S �'���.0 G'r� 3�� <br /> APPROVAL: ,LAfJ !//r�l� DATE ,3 <br />� ENGINEERING DEPARTMENT � <br /> * T.`1is totdl must bP n�i�l hAfnro h,,; ta;.... -.......: .. : .. . ........a <br />�— — - - _ - -- ' - - -- - - - <br /> �•-- <br />