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FOR CITY USE ONLY <br />ENGINEERING AND COMMUNITY SERVICES <br />BUILDING PERMIT INI'ORMATION <br />ADDRESS /(p/(.0 A, 8, C,!� 0 357-W 57 <br />1) BUILDING PER:4IT FEE %0,OfJO.00- <br />2) <br />3) <br />4) <br />5) <br />6) <br />(A) PLAN C;i CK PEE <br />PLUMBING, <br />MECIIA14ICAL <br />TYPE 65Qn j/n . <br />$ 0i7 1JU <br />$ <br />7 S, OC3 <br />$ 27, 00 <br />WATER SERVICE TO BE PAID BEFORE BUILDING 75 00 <br />PERMIT IS ISSUED $ 2 <br />(A) TO BE DETERMINED BY PLBG. INSP. I INCH <br />! <br />031) EXIST. TIATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION E3"if-LTy?7Oti.r /WIJIN 6,VP904_ <br />107 F7 E OF 4 of WayTj02E CHART <br />DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED FT. D/W (TYPE) $ <br />STATUS OF SEWER CHARGES: TOTAL $ <br />BOND - DISTRICT FOOTAGE ao4y4e---x.1:2 <br />N, S, E, Pl. <br />NOTES <br />7) "IONTHLY SEWER CHARGES: <br />SEINER CONSTRUCTION: <br />SEWEI: CONNECTION CHARGES <br />YEAR TRUNK $ <br />LATERAL <br />TOTAL CONNECTION CHARGE$ <br />SE";ER PERMIT FEE $ so` DU <br />CA`I'Cli BASIN PElUlIT PEE $ <br />I� <br />ljloTOTAL SEWER PERMIT PEES$ 0"0 <br />TRUNK $ <br />LATERAL $ <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �I M /> I,Li � D� <br />O)=--•_hidh <br />r. rl-7. <br />INFO CO"rILED BY: <br />CHART U-�e <br />DATE <br />APPROVAL: DATE <br />