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�... <br />� <br />� <br /> i <br />�f <br />� <br />� <br /> L•'NGIWEERING DEPARTMP[dT <br /> II[IILDING PEfUdI`i' Ir]I'OR'-YJ:TION <br /> „- C�!7/ i� /%. �1 �, <br /> ADDItESo � , � j lC,�i.� �,fJ� . �•F TYPE - �� <br /> _ � , <br /> 1) BUILDING PEF2fdIT FEE ;J�QL��C� • �� $ /r / -,�;>' <br /> !A) PL71N CFIECIt FE� ' `�' <br /> S .J <br /> 2) WATER SERVICE TO BE PAIU BEI'ORE BUILDING <br /> PERMIT IS ISSU�D $ `' ,�� Or� <br /> �, � — <br /> (A) TO BP DETERASI1dED BY �LSG. INSP. � ZNCi-I �` f`- �'_�l• DO <br /> ;° ;'�.c i�: .. , ,. , <br /> �L�) EXIST. S9ATER SERVICE, AcPL, t70. <br />! (C) APi'ROX. LUCATION _�j�� G , i f�i't�i'���+ "'�; 'F ,- . <br /> r �. OF- �(.' c Tcle, t � CIIF�RT ��-�':� (P <br /> I 3) ;ii;I'��iiAY PBRf+, �T TO BE PAIU IIEFORI: BUILDING <br /> PcRt•fIT IS ISSUEJ 2..;� FT. fi=','..{ ;l D/ti�l (TYPE) $ � '� � `-;;'-� <br /> . � � �`� -- <br /> TO.AL* $ ��- �. _. <br /> 9) Si::TUS ,O� F-��EWER CIL'.RGES: --' <br /> B��D_ � DISTRICT � '_ FOOTAGE <br /> N� S, �, W. <br /> N01ES SE{�R CON�ECTION CHI�RGES: <br />� YEAR � (� TRUNY. ,S ! j';'. ; ' � � ' <br /> 3 - 35 _ c��JC�_ � �� <br /> P� ILA �q�L7 $ ---� <br />' • TOThL �CONNECTI�� 'CHXRGE $ /%L. '�U <br /> SEi�'ER PEIL�fIT P�E y `�d . G'�� <br /> CATCtI BASIN PEF1dIT FEE $ <br />� TOTAL SEF7ER PER�iTT FEES $ �'�C:J - � �� <br /> 5) ::��';'�:ii,Y SEfiER C7iAP.GES: -- --__ <br /> SEWER CONSTRUCTION: <br /> , TRUNK $ �L . ,%'. �;' � <br /> LATL•'RnL $ <br /> I S�StiER SEP.VICE: $ � , /JU <br /> � � <br />` AP^:;��, LO:.•1TION OF SIDE S�WER OR TEE IN Tif� M11IN: � � - " � - <br /> ��� �f � c__-F' .: �:.'�.T' 6�l-. �: �1 F.�<Y - , r � '' <br />( a� l7, i�/�o��ox ���_ _' <br /> �T l��z�r�,. �. �.�,� - cii�x�r � <br /> Ii�FO .::��i?IL�D IIY: __ DAT� / l J <br /> RL��IES;: _ DATE <br /> YROJSC7'u DIVISIUid � -- -- <br /> APP?i��';.11,: ,_ DATE <br /> ENGIN1iL'I:I1�G DEPAR':bSlNi' --�-` <br /> i <br /> w <br />� <br />,, <br /> I <br />