Laserfiche WebLink
, <br /> ENGINEERING DEPARTASENT <br /> _ BUILDING PERMIT INFORMATZON <br /> ADDRE:SS S 5 2- tJ � i2p A D c.,lA Y TYPE S F �� <br /> 1) BUILDING PERMIT �EE �Di �•��' $ /��7, o a <br /> (A) PLAN CHECK FEE $�y ,��� <br /> 2) T9ATER SERVTCE TO BE PAID BEFORE BUILDZNG <br /> PERMIT IS ISSUED $ z OQ o0 <br /> �, , OCi <br /> (A) TO BE DETERMINED BY PLBG. ZNSP. 3�¢fl INCH M�H yd'��'� <br /> _�— <br /> (B) EXIST. WATER SERVICE� APPL. N0. <br /> (C) APPROX. LOCATION '4 �/lt� C . �,�wc. �'f � [ o � � <br /> � � O T (LD A D (,J('� Y CHART � � Y ,� <br /> 3) DRIVEh'AY PERMIT TO IIE PAID BEFORE BUILDING p <br /> PERMIT IS ISSUED �S FT. %5/J/�, ll/W (TYPF.1 $ �y2 '� <br /> TCTAL* ` <br /> 4) STATUS OF SEWER CIiARGES: <br /> BOND� DISTRICT z�_ FOOTAGE -- SF � <br /> N, S, E, W. <br /> NOTES SEWER CONN�CTIOA' CHARGES: �p <br /> YEAR � TRUNK $�S <br /> � �- 2�1-, OQ¢ �O �D �T RAL $ 3I Z 5� <br /> ��. � � � ,o <br /> TOTAL C NECT �7CI7ARGE $�_ <br /> �.'�� <br /> SEk�:R PERMIT FEE $ �Q <br /> C1 . � BASIN PERMIT FEE $ <br /> pU <br /> TO..�� SEWER PERMIT FEES $� — <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> TRUNK $ � �� <br /> LATERAL $ 2 �S <br /> SEW�R SERVICE: $ 2 S� <br /> APPROX LO ATION OF SIDE SEW�R OR TE IN THE IN: / F M ('I. / <br /> 1 I So. D � <br /> C[i I'�e /l/�[ CA o s' O�Pc�D � <br /> CH R' �' S_ zu-s <br /> INFO COMPILED BY: DATE�?5��7(� <br /> REVIEW: ' DATE <br /> PROJECTS DIVISION <br /> APPROVAL: DATE <br /> ENGINEERING DEPARTMENT <br /> * This total must be paid before building permit is issued. <br />