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Tn <br />.�uiii�JJ " . . <br />ENGINEEkING DEPARTMEDIT <br />RUILDING PERI�SIT INFORMATION <br />.�_ �-.n� , . . � <br />. . . : . -. •. .o._. <br />� . . „ .� ...._f. .._ <br />- ' TYf'^_ ,� , . . _ <br />1) BUILDING PERb1IT FEE <br />(F.) PLPN CHECK FEE <br />2) WATER SERVICE TO BE FAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERi4INED BY PLBG. INSP. �� <br />_ - ZNCH <br />iU) EXIS'1'._ WATER SBRVICE,� �'�PPL, N0. <br />S.� c u <br />$ Co S' (7 U <br />'�' �� �! �i <br />'� , c� c — <br />�; . �_ ., <br />{C) APPROX. LOCATIpN $�+1;✓ �� �i �A �- q, <br />e • _� e.J. <br />,, � � ; � � ;; <br />. J�+-f _/ :a• , j" ; _, � � /-G.g+-r� �.�a��� � CHART ,S -- " <br />31 DRIVEWF.Y PERMIT TO BE PAID�BEFORE BUILDING �'��f <br />PEFtldIT IS ISSUED i':,'_� FT. GS :�c"`_ . .. <br />DIW (TYPE) $ - <br />9) S'I':s'I'US OF SEtv�,k CHARGES: TOTAL* <br />130'rdD_' _ DISTRICT FOOTAG� <br />N, S, E, W. <br />7 ) :10;J'. ti <br />SEW�R CONSTRUCTION: <br />SEWER SERVICE: <br />AP?ROX. LOCATION OF SIDE <br />SEL�'ER CONNECPION CHARGES: <br />YEAR � - �'= TRUNK <br />:CTI{L,COI�LTE�TrO� �HARGE <br />SEi9ER FERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />TF.UNK <br />LATERAL <br />OR TE�; IN THE MAIN:,. <br />.� ' � _, . . <br />I`.FO COD1?'ILED BY: ,%��_,��_.,,! (- _, `.;'�, 4 ��,i� <br />Rr.��rr[•;: l�� � ' <br />PROJECTS DIVISION <br />i - l <br />APPi:OV?.i:: �. , <br />' � ENGINEERING DEPRRTMENT <br />DAT� <br />s Z��. Sv <br />O <br />/l �_ Q .Q�-- <br />`fin-v <br />$ -- <br />s �'9�.. �'t') <br />$ i�t�.� <br />$ <br />$��. ��r�) <br />s 2. 2� <br />$_ �. �� <br />� � �- <br />DATE <br />/ / --- <br />DATE_��'��',' �J� <br />* 'I'(,;:, f..._:l. must h�: nairl }infr,rn ,,,. ,� <br />iini7Ai ...-...:� ... ..-.., <br />.�a <br />