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ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />/� <br />ADDRESS `7 I / " i� =� ' `? 5^0'�/S. C✓ , <br />1) BUILDING PERMIT FEE <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(/ !� C✓, �g s•E <br />PROF• CC�E/�. rr. C . /. zyit/ • 5� CFfART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING f <br />PERMIT IS ISSUED FT. D/W (TYPE) <br />4) STATUS OF SEWER CHARGES: <br />BOND DISTRICT_ <br />ntnmcc <br />$ewer S lUnier l.:hes r:ol <br />(It 1o?rope_ a s of' <br />w evl-y- cld <br />/i <br />cap l.nanbt:J: <br />SEWER CONSTRUCTION: <br />TOTAL* <br />FOOTAGE <br />N, S, E, W. <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK <br />TOTA'L CONNEAI/ON7CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />$ /92•sQ <br />S <br />TOTAL SEWER PERMIT FEES $•enr <br />TRUNK $ <br />LATERAL $ --"- <br />SEWER SERVICE: $ �, S O <br />APPROX. LOCP.T ON O&SIDE SEWER OR TEE IN THR-MAIN: <br />CHART t. <br />INFO COMPILED BY: �_I.� , !'.._K:. DATE 1z ;lc <br />REVIEW: DATE <br />PROJF,CTS IVISION <br />APPROVAL: ��TN _ DATE__-_���G <br />E NEERIN� UE1'ARTMENT <br />* This total must be paid before building permit is issued. <br />