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IiDDRE$S <br />ENGZNEERTtIG DEPART�dENT <br />�UILDT_NG PERMIT INtORf41�TI0N <br /><� � - -�,. . . <br />/ I"i- i 1�i1. G�.�-- <br />1) �UILDING PERMIT FEE �%O� 2(�O �r`� <br />(A) PI.AN CHECK FEE <br />2) 4iATER SERVICE TQ IIE PAID BEFORE BUILDING <br />FERMIT SS ISSUBD <br />'�, <br />(A) TO BE DETER1dI2�ED gy PLHC. INs"F, YNCH <br />�B) EXIST. WHTER SERVICE, APPLe N0. <br />TYPE �-; . r�"'l � <br />$ �00 • 'o`� <br />$ 3S c^ �; <br />$ �� ' ' ��� <br />� . Z7� oa <br />f /'l�'-�- 7, cc <br />• . (C) APPROX. LOCATION (�' � G'T '�c�. � C �)� �- <br />P3t- �: ilt CR .`'� '� CHART S- Z� Cv <br />3) D3IVEfaAY PERMIT TO BE PAID BEFORE BUILDING <br />PE?i:•IIT IS ISSUED �� FT. G.-pI.�G D/W (TYPE) <br />S /�G•Sv <br />roTai,* S 34ra.5'a <br />4) SinTUS OF SEIJER CHARGES: <br />B�-�'D (/%- DISTRZCT FOO'P.4GE <br />N�.S� E, W. <br />SE��7ER CONSTRUCTION: <br />SEI�7ER C0:7NECTZON CHARGES: <br />XEAR _� TRUNK <br />TOTAL C�ONNECTI��RCHARGE <br />SEWER PERBIIT FEE <br />CATCH �ASIN PERdIZ' FEE <br />TOTAL SEi�TER PERI�iIT FEES <br />^1RUNK <br />Y�ATERAL <br />SEWER SERVICEe <br />APPRJ.l'. LOCIITION OF SIDE SEWER OR TEE YN THE MAINa <br />�F' �'.: F"v._ -)�.'ll 11 ��" �r�/c.> L�1>�'f> r� K -� � � • <br />-.> i��.�r- f n' i�.t r�. �.Y V�' CH <br />INFO CO�;PILED BY: <br />REVIEii: <br />' PROJECTS DIVISIGi� <br />APPRO�'aL e <br />_ ENGIN�CRItJG DIiPI�RTA`IiNI' <br />DATE <br />DATE <br />DATE <br />$ % L�, c�cl <br />$ <br />$ �i �0, L^d <br />S 3c� ._ <br />$ —. <br />