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1'01: CITY USE ONLY <br />ENGINEERING AND COMMUNITY SERVICES <br />BUILDING PERMIT 1NFORMATION <br />ADDRESS J04 qI-✓T _--7-r 6. z!� TYPE <br />1) <br />BUILDING PERMIT FEE �jJ 2�.Z OS_ • od $ <br />�� /y. dy <br />(A) PLAIT CHECK FEE � b` G $-- <br />2) <br />PLUMBING. $ <br />2S. cc.) <br />3) <br />14ECIIANICAL $ <br />/'s• (90 <br />4) <br />IIATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT is ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />W EXIST. .19ATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATIONI <br />7-0 _#L p1r . FT CHART <br />5) <br />DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />/ <br />PERMIT IS ISSUE•'D , T. GO,uG D/W (TYPE) <br />G) <br />STATUS OF SEINER CHARGES: TOTAL $ <br />12,48- <br />BOND DISTRICT cJS� FOOTAGE <br />N, S, I], I7. <br />SETIER CONNECTION CHARGES <br />NOTES <br />YEAR ' % -7 TRUNK $ <br />Z ' <br />LATERAL $ <br />ps7C.F <br />TOTALL CONN C ON ARGE$ <br />s lw <br />SfE,:ER PL• BAIT FEE $ <br />Savo <br />CATCH BASIN PER?lIT FEE'$ <br />TOTAL SEWER PERMIT FEES$' <br />✓O`d U <br />7) <br />MONTHLY SEWER CHARGES:' <br />SHWER CONSTRUCTION: TRUNK $ <br />LATERAL <br />SEWER SERVICE $ <br />APPROX. LOCATION OP SIDE SENE'R OR 'PEE IN THE MAIN: <br />Leon Aene-Qx <br />15T�•J� s,,eo�.CI!'c CIIART -S <br />INFO COMrILED BY: <br />DATE <br />APPROVAL: DATE <br />