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1 .11, 1. 1 1 %I.. • ""I', <br />ENGINEERING AND COMMUNITY SERVICES <br />DUIIIDING PLRNIT INFOR11A_CION <br />ADDRESS i'—v. �T 5 <br />1) DUIIIDING PERMIT FEE 4- 'j(ps <br />(A) PLAN CHECK FEE <br />2) PLUMBING <br />TYPE�r_ <br />$ IIZ.00 <br />$ f�7,Oo -- <br />$ <br />M- OD <br />3) <br />MECHANICAL <br />—_ <br />4) <br />IVATER SLRVICE TO BE PAID BEFORE <br />BUILDING <br />PERMIT IS ISSUED <br />$_ <br />(A) TO BE DETERMINED BY PLDG. <br />INSP. `INCH <br />(R) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION ¢ I C.l <br />N!41AI "WY& 17 <br />C1" <br />CHART G✓'ZO�J <br />5) <br />DRIVE11AY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED 1_FT. <br />�CAA�D/W (TYPE) <br />$ <br />G) <br />`7i"^0S OF SEWER CHARGES: <br />TOTAL <br />$ <br />D DISTRICT VAD <br />FOOTAGE <br />N, is E, W. <br />SEWER CONNECTION CHARGE:) <br />YEAR % 7 TRUNK $ V, /0• CC) <br />T94tS� LATERAL <br />70011 <br />CONNpTION CIIARGE$$ <br />((4j2I" <br />SIM V±RIA .'rJ��J�• Op`O U <br />FEE <br />CATCH BASIN PERMIT FEE $ <br />TOTAL SEWER PERMIT FEES$ <br />'i) MONTHLY SEWER CHARGES: <br />30. cc) <br />SEWEll CONSTRUCTION: r TRUNK $ � <br />LATERAL <br />SEVER SERVICE <br />APPROX. LOCATION] Or SIDE SEWER OR TEE IN THE MAIN: <br />Z'�_.�'�" 5• � • _ L,d 7{�.,� ,cl�i'��ok 'L l00 �'•7 lc/ D� Mai/ • — <br />/2 z>&2p2., CHARY o!5 <br />INFO COMPILED DY: <br />APPROVAL: <br />r <br />6ATI, <br />DATH <br />