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ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS / 4.( 3 A j3 G zS t S' E. TYPE <br />1) BUILDING PERMIT FEE. CTA ?;3� �;ze 00 <br />(A) PLAN CHECK FEE $ UC? -so- <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING f 2 <br />/ <br />PERMIT IS ISSUED CIE _-- / l$ <br />(A) TO BE DETERMINED BY PLBG. INSP. 3� INCH PL134, <br />*(B) EXIST. _ WATER SERVICE, APPL. NO. / 7 7 7 6Z,011111) <br />(C) APPROX. LOCATION 2, B C_ n f N/. P1i e• T Z o1 /Q <br />1l,�:n I2L' 5. of $.p�1- ci Ld /f, CHART $-/43 <br />3) DRIVEWAY PERMIT TO BE PAID BEF RE BUILDING -� <br />PERMIT IS ISSUED _� FT. 'WOM D/W (TYPE) $ <br />TOTAL* $ <br />4) STATUS OF SEWER CHARGES: <br />BOND IW•.Z DISTRICT FOOTAGE S"S' <br />N, L.'# E, W. <br />(SEWER <br />CONNECTION CHARGES: <br />INOTES <br />tJpwcr l7-PtQ&GT# <br />e0..de•d. <br />YEAR <br />TRUNK <br />r4ew wa4r <br />Serw�-Ar <br />QQ//� LA� <br />/6' 21 � /b 7-1 '/t <br />6 3 "� S1 SE <br />TOTAL <br />COPNE tLIA0N 1 C i RGE <br />00 17782 1>flrl. <br />7cb- nQw dip le�C <br />I <br />SEWER <br />PERMIT FEE <br />CATCH <br />BASIN PERMIT FEE <br />TOTAL <br />SEWER PERMIT FEES <br />Ex UMARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />APPROX. LOCATION OF $IDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED <br />$ <br />36S.00 <br />$:= <br />$ 2./0 <br />$Mi !&Md <br />DATE (, -I- 7G <br />RO <br />REVIEW: _ DATE <br />:ROJECTS DIVISION <br />APPROVAL: DATE ���_ <br />ENGINEERING DEPARTMENT <br />* This total must be paid before building permit is issued. <br />