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f' <br />ENGINEERING DEPARTMENT <br />_ BUILDING PERMIT INFORMATION <br />ADDRESS-- 13 Q G 7 Q��, S. r ,`- TYPE, 5 F k <br />1) BUILDING PERMIT FEE �2�� �C7� `�� $_ I s?, . C3C7 <br />(A) PLAN CHECK FEE $ R'C).-7IV <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED $ -zoo, 00 <br />(A) TO BE DETERMINED BY PLBG. INSP. 3 . INCH C-LP. (M • Z-l' 0 V <br />h4:Ec'-l`I--T--O-c <br />(B) F.XIST. - WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION G "M fr n - Zs� N uT cf 74tf- <br />S1', S. �,_ CHART S -20-% <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED jj;�_ FT. ;M D/W (TYPE) <br />TOTAL* <br />4) STATUS OF SEWER CHARGES: <br />BOND DISTRICT 2.1 F00TAGE — <br />N, S, E, W. <br />5) !IONTfILY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />APPROX. LOCATION OF SIDE SEWER OR <br />74L ct S.E '*T" ei'E„ <br />SEWER CONNECTION CHARGES: <br />YEAR '7(� TRUNK <br />LATERAL $ i / 2. M <br />TOTAL CONNECTION CHARGE S- SO 7,TO <br />SEWER PERMIT C$ <br />CATCH BASIN PERMIT FEE $ <br />TOTAL SEWER PERMIT FEES <br />TRUNK <br />LATERAL <br />TEE IN THE MAIN: $ 11r 0;e - <br />INFO COMPILED BY: <br />REVIEW: _ <br />PROJECTS DIVISION <br />S t . r s' <br />$ 2•iG <br />DATE_- T_ - 76 <br />DATE <br />APPROVAL: DATE__ <br />ENGINEERING DEPARTMENT <br />* This total must be paid before building permit is issued. <br />