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ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS_ 2 �- _ND1 <br />. �j E. — <br />TYF E <br />1) BUILDING PERMIT FEE <br />4-c:)1000 <br />$ lS 0 <br />(A) PLAN CHECK FEE <br />$--�7S. _ <br />2) WATER SERVICE TO BE PAID <br />BEFORE BUILDING <br />p�7 <br />PERMIT IS ISSUED <br />r�-f" — <br />3/AI INCH <br />Dp$ <br />(A) TO BE DETERMINED BY <br />PLBG. INSP. <br />Mt�f/ <br />(l) EXIST. - WATER <br />SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />,A<14 <br />411( 1. <br />�2 AI 9 <br />CHART <br />5/9 <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />r'O <br />PERMIT IS ISSUED 27- <br />FT. 4-,P1rt D/W (TYPE) <br />$ <br />a <br />41 STATUS OF SEWER CHARGES: <br />BOND_ � DISTRICT Z 3 <br />TOTAL* <br />FOOTAGE <br />N, S, E, W. <br />SEWER CONNECTION CHItRGES: <br />YEAR ;?(� TRUNK <br />(PLA -r ) LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />SEWER SERVICE: <br />LOCATION OF <br />INFO COMPILED BY: <br />SEWER OR TEE IN <br />REVIEW: <br />- PROJECTS <br />APPROVAL: <br />NGINEE ING DEPARTMENT <br />S <br />LATERAL $ <br />MAIN: <br />DATE 6 -76 <br />DATE <br />DATE <br />* This total must be paid before building permit is issued. <br />