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ENGINEERIt7G GEFARTt•1FNT <br />BllILDING PGiUtIT I17POW9ATION <br />— i�" . <br />ADDRESS ' ' :J� �J � J � % `_ .� -T TYPF. ��G%�Ii��I.� _ <br />1) BUILDING PERb7IT PEE �,�.-�Gz�� c"' • $/�/'G� �' ' <br />� (A) PLAN CHECK F�E S_ ��'�"' <br />2) WATER SERVICE TO IIE PAID BEFORE IIUILDING <br />PERMIT IS SSSUED <br />(A) TO BE DETEIL'dINED BY PLBG. INSP. � INCH <br />(B) EXIST. WATER SERVICEr APPL. N0. <br />S 2D1�- �'� <br />/� `r. <br />i . , i -� �_*:. <br />�i <br />(C) APPROX. LOCATSON !� /� G. _ i � i/_. /�//�'% ^ /.�i <br />N CY %�' r��j-, CHART j—ZIZ <br />_17_�— <br />3) D�iVEI4AY PERMIT TO $E PAID DEFORE BUILUING <br />PER�fIT IS ISSUEL2-/� FT. � L/�i[.- D/W (TYPE) <br />TOTAL* <br />9) 57nTUS OF SEWER CHARGES: <br />BO::D � DISTRICT �L J FOOTAGE LG' � <br />, S, E, W. <br />SEWER CONSTRUCTION: <br />SF.�+�ER SERVICE: <br />SEWER CONNECTION CHARGES: <br />YEAR �7 % TRUNK <br />LATERAL <br />TOTAI. CONNECTION CHARGE <br />SEWER PERN.IT FE� <br />CATCH BASIN PERMIT FEE <br />T04'AL SEWER PERhiIT FEES <br />TRUNK <br />LATER7IL <br />5 /�,C'u <br />^_p �J r�U <br />j 'T G 7i <br />5 2��• OU <br />$ ��. � <br />S 5�0• "° <br />$ C. _ <br />S _ <br />$ . . <br />2 -'G s" <br />s <br />$ /, /%� <br />S /4//��=GI� <br />APPRJ\. LOCATION OF SIDE SE«R OR TEE IN THE ^SAIN: �'� �,c v h�ttJr�,-� ��-+ <br />_. t_ A. ra � Cfi11RT N7 - -.2 �. •. 1. <br />INFO �J>:PILED BY: DATE <br />REVIE��: <br />PROJECTS llIVISI017 <br />APPROI',\L: <br />ENGINI:IRING Dl:['Al2TMI:VT <br />DATE . <br />DATE <br />