|
.,
<br /> 1
<br /> � -� ��
<br /> � , ••.
<br /> OE�A�TMlNT OF COMMUNITr OtVllOrMtNT fE�VICEf .�, , ,,,
<br /> BUILDlNG PERMIT INFORMATION ``,� '`' �::`�,�'�. ��`
<br /> ,. � �:� �
<br /> �. .;�; , ..
<br /> • �1 � � � . . . ' ,.:�. ., .:.! �J� C.J.,.11 i��'.
<br /> ADDRE55 I�IL/ �Ot��� Fx�C TYPE �uAG.e�c -:.�
<br /> (1) 6UILDINC PERMIT FEE [s4 Do�• =' t 9/[i.OD-• -
<br /> (A) PLAN CHECK FEE �V� �'► �t
<br /> (2) PLUMBINC •OD
<br /> • (3) MECHANICAL • 2 •DO ,
<br /> (1) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERP 11T ISSUANCE 3�15•�a
<br /> (A) TO BE DETERMINED BY BLDG INSPECTOR ( INCH � ��-���'�N �•
<br /> Su/K.Y ... .�,
<br /> (B) EXIST. WATER SERVICE, APPUCATIOIJ NO. , .�,,. _. <l�
<br /> (C1 APPROX. LOCATION W�►�L wn�a To �E ' ' - .'.'-`•,.�.�,•i:� .
<br /> ,
<br /> _. ,.', ,. _. . .; .� 5.•'A'" .� .,-�i
<br /> �9t.TH�I(�o !a't 'Lv�a"" - CHAR� P-1'1-2.4•t' __. .r� _ : � . .
<br /> (S) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDINC PERMIT IS- , '
<br /> SUANCE FEET DRIVEWAV(TYPE) f �
<br /> s ,. . �7��,07 � .
<br /> ' p) STATUS OF SEWER CHARCES: ' -
<br /> BOND �_DISTRICT FOOTACE �����0';. ,:; _:;�a�:�,'',._: _. .
<br /> N, S, E, W . .. . .:, ..
<br /> NOTES ,. ., , _ . ` .
<br /> . . ,�
<br /> - � . . . .. . •:f„ . � .
<br /> � D4d�3.�EYMEU�' G�� ' .v ._ . � . ,
<br /> 63 ,
<br /> .:-. , .
<br /> ptiD +� L�t��—B a . .. __ ,.,, � .,:
<br /> ; . - - . _
<br /> � � l . . _ . . . _ H�r. I . ... _
<br /> �`'�UP t�t S � �� „. ,�. - ,a,z;,�, , •
<br /> L 2 . a,: ,. �, ^.':x� " � ',
<br /> .... ,. , .
<br /> . _._ . . . ._ �. . ....,.. -
<br /> _ � .:' .. -�• ..}
<br /> __. ... . .�� �
<br /> SEWER CONNECTION CHARCES ,; ;,;;;;:-; �;.,-.
<br /> YEAR TRUNK S
<br /> LATERAL '
<br /> iTOTAL CONNECTION CHARCES :
<br /> • SEWER PERMIT FEE � Og' f �'B� ,
<br /> CATCH BASIN PERMIT fEE t�/1 ,
<br /> ` � TOTAL SEWER PERMIT FEES � 3II=�4h� aa•� '
<br /> (7) MONTHLY SEWER CNARG�S: �
<br /> SEWER CONSTRUCTION TRUCK f '
<br /> LATERAL
<br /> • . SEWER SERVICE ���n
<br /> APPROX. LOC/1TION OF SIDE SEWER OR TEE IN THE MAIN:
<br /> hlo 5t-,�,�•, 'To P��. 6��� 7t� �E �..���:mr..a _
<br /> �-r �a�l�..oa�� �-n�_�@ CHART_P- ('7-2R-�_ �
<br /> ' >
<br /> , INFOCOMPILEDBY: DATE �
<br /> APPROV1IL: DATE ;_
<br /> 7y" . '�.
<br /> yrJavr rs- �
<br /> 4 .
<br /> s�•n z��� .. . .�: ,:i' . . .. . _..
<br /> �s�
<br />
|