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ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFOP14ATION <br />ADDRESS Z �-r ,G. -5- 6 TYPE =�4:--O <br />1) BUILDING PERMIT FEE $ / JQ, OC, <br />(A) PLAN CHECK FEE $ <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED jeoS FT. D/W (TYPE) <br />TOTAL' <br />4) STATUS OF EWER CHARGES: 1 <br />BOND DISTRICT 12, FOOTAGE <br />N, S, E, W. <br />NOTES <br />3S4—oo <br />5) :•;O::;iiLY SEWER CHARGESs <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />SEWER CONNECTION CHARGES: <br />YEAR —7 tp TRUNK <br />`yLTATERAL <br />TOTAL L`ONNEC'i'ION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />TRUNK <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE I14 THE MAIN: <br />CHART <br />1 INFO COMPILED BY: <br />REVIEW: <br />PROJECTS DIVISION <br />APPROVAL: _ <br />ENGINEERING DEPARTMENT <br />DATE <br />DATE <br />$ i z S;O <br />$ <br />S A9`,J,00 <br />S <br />$-12la, 6y-- <br />$ !!6. DO <br />S <br />$ 30. Iva <br />$ �2!•-�50 <br />DATEi <br />r <br />