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�.;.., tr�r:�;i �r�_. i, . �•.��rru,Nr
<br /> ._ r ,�c, � : , LiUILDING PEF2MIT LNF'ORMATiON
<br /> ADDRESS_ .�?�_�` =! i — --T
<br /> _ TYpP
<br /> 1) BJILDING ^E?'J}1`a' FEE -- $ - -- - -
<br /> (A) PLAN CHECK F'EE $ —
<br /> .'.1 WATIR SERVICF. TO DE PAID BEFORE BUILDING yj�
<br /> PERMIT IS ISSUED ;'_., �• �1 ''�� S ✓ 27J . `�
<br /> (A) TO BE DETERMINED BY PLBG. INSP. � INCH � �� ���
<br /> ,
<br /> � «) EXI�T.__ WATER SERVICE, APPL. N0. �
<br /> (C) APPROX. LOCATiON �y _• / . :
<br /> �� 1.��, f �r, _
<br /> . S . L.,� , r . � , r . .
<br /> _._L4�'��—~ �Y w 4 .• - CHART S '" ,
<br /> � ��!' !VEWAY PERMIT TO BE PAID BEPORE BUILDING
<br /> �':.!:b1IT IS ISSUED _=;' FT. _� �, i D/W (TYPE) ,
<br /> TOTAI." �
<br /> 4) ti'iA'PUS OF S6WER CHARGES: �
<br /> BOND �,j�_ DISTRICT � � FOOTAGE -� '�
<br /> N, S,—_�,- W,
<br /> p �
<br /> c�� C� �) �Lt.l �, <; ii-. iU�1— c �� I
<br /> NOTES SEWER CONNECTION CHAR�;t:;; :
<br /> I K'M Cca fo � n J�� II M N YEAR _ , ,_ TRUNK ;
<br /> _ ._ ,..— -
<br /> ',► "ii�� / 76 � S. c S �i 3 D, c -.
<br /> +! i s f� n � /`� N •'f /DOr"fr � TOT�t CbNNEC�T16J0 LIfARGE
<br /> �!+ ,� �,s rE. 'r'h i5 +o s'►-� $ 1]01. e,
<br /> � s ►d? � Pr�vaf♦ l� uad SEWER PERMIT FEE $ �( , ' �
<br /> � f N}~��� CATCH BASIN PERMIT FEE�� ^f�� $
<br /> TOTAL SEWER PERMTT FEES $ ��
<br /> CHARGES: --
<br /> . ' -,:CR �.'n'J:;'f RfiC7'TO;d: .
<br /> 'CRUNK $
<br /> � Yl'GRAL $_ � ,
<br /> �,._ .. . , '�� . $�tt"rffli _
<br /> ! � : oT' SIDP SEWER OR TEE IN THE Mr1IN: ,� �,; �, ,;, ' � ij'� �,y
<br /> — 1-' '� � s � � � : C .^ -�f /�l.f� /n }.�si� Y �tn
<br /> �
<br /> ��--L-S-�= , / c a � s CHART _"
<br /> I tJFO COMPILED BY: _� `�'�_��� _ DATE 8 1,! ____.
<br /> RPVTEW: --- --- DA';'I
<br /> PROJECTS UIVISION
<br /> DA'I
<br /> �:NGINEI:RING DEPART�tENT
<br /> , , , . , . �,.
<br /> . , � � ii �l ,. ��'�., , f�,: i i �l �. . - �,�rmit�. i =. isr:,: , .
<br />
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