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FOR CITY USE ONLY <br />ENGINEERING AND C0MMUNITY SERVICES <br />RUIT.DING PERMIT INFORMATION <br />TYPE <br />1) BUILDING PEwlIT FEE 2� /(y�� �G' $ �� • O U <br />(A) PLAN airCK FEE $ _ UU <br />2) PLUMBING $ 17 0 U <br />3) MECHANICAL $ �Z • OO <br />4) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED $ <br />(A) TO BE DETERMINED BY PLBG. INSP. _INCH <br />(R) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION 4" C..,T MJlj,,A) AgoeCOt[ 1-7 r=7 <br />opr �W CHART ZG;� <br />5) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED _FT. _/1po-D/PT (TYPE) S g• S� __ <br />6) STATUS OF SEWER CHARGES: <br />TOTAL $ <br />BOND DISTRICT '> FOOTAGE <br />N, S, E, hl. <br />SEWER CONNECTION CHARGES <br />NOTES <br />YEAR -7"7 TRU\1: $ 2/0•DU <br />,61F55611p�49 LATERAL $ 3 4 0 •o o _, <br />TOTAL C UNEC � ON CHARGE$ ssv' <br />6111Q PEIi'11T FEE $ 30• oo <br />CATCH JSASIN PERMIT )PEE $ <br />TOTAL SEWER PERMIT FEES$ 3 0•04) -� <br />7) !IONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: TRUNK $_ /./5 <br />LATERAL $ �? • �Lh <br />SEWER SERVICE <br />APPROX. LOCATION 01' SIDE SE'4rR OR TEE IN THE MAIN: __e;t)_ N.'�/,_ bF <br />6•15,i�Oc3"Y <;,SoI=rIAJ OF NiLJ /A-/ y 6�itJ7 <br />or 'L�^l� 73T:� 5-r SE,._t1'_eo fr'r� l>Etn CHART-8-Z8-s --- <br />h-C L <br />INFO cc:!, IT.rD BY: DATE --^-� - <br />APPROVAL: <br />DATE. <br />