Laserfiche WebLink
:,DDRESS �� <br />. •::�_:. or nuiLnr.;c <br />uutLui.��, ran.���ti 11\I'VI[:blttllVlv <br />' ' EliILDI:.i, PER:.:IT 'r E: <br />(A) PLhN CHECf: FEE <br />C�9 �! <br />S-`- <br />z�t, ��o, �o <br />Z: \�"ATER SFR�'ICi: TC P£ PAID IIEFCF',E BliILDI��G <br />Pi:R:..IT :s ISSUEU <br />i.�l TC BE DETE� '.".I`:: D BY FLBG. INSF. I':Ct? <br />li <br />tRl El:S1. �':ATEct. SER\'ICE. A?PL. ?'C. <br />r�,z� ,S-/`/-?,J- <br />� �-�r.�� <br />S C.�O.SJ <br />1ZS��J <br />I C 1 � CCAT10� _ �J,4 /,�/ ,¢(�'�/2��,t-. /o � lrieiS T _ <br />mr �L• ��?�.r;- 524/_ <br />_ :�� 1\'`.'��AY PER:.S:T TJ BE :�Ai7 EEFCR: £�Cii.Di':;, <br />?i::�:IT IS ISS�JE� jf� FT. �}�/{�.�.1- 7'.': �I1"or� c 7iU _ <br />,':.._::S CF SEl''ER C?:�.RGE�� <br />90�D_� DIS7'R1CT 2b <br />TCTyL <br />= OOT.1 �L <br />::, �, E, y;�— <br />� ?�14,�D <br />._.�\DSC_y?� \CTES i�i.��'� ER CC':� :CTiC:: C �4rG��. . <br />I TRL^:P: :: �J•d6 <br />LeiiRAL <br />TCTAL CCtiX: CTT.C\ CF�IRGE <br />SEtti'ER PER�7IT FEE <br />_ ,ans���, <br />5 6 5: ov <br />S .3�i.d0 <br />CATCH T�ASI\ P��'.?IT r'E� 5 �— <br />TOTAL SE11'ER PER�SIT FEES 5 .3��•d�3 <br />51 '.iOnTHLT SE�'�EF. Ci3AP.GES: <br />SE�'; F_F: CC\STRL'CT101: <br />TRUNK <br />i.�+ T E FiA L. <br />SE1'� ER SE�1'ICE: <br />r <br />5 �':,5� <br />� 7'Ll <br />5 Z•s ° <br />I.CCATICti OF SIDE SENER OR TEE I'� THE MAI1: CHARI � 8'Z�-,� <br />�-'�3� �1ln,c'rH pF .�//' ��,� BDw�v P o. /o�vec/' �4PP�oX• <br />I:�FO CO�SPILE:D BY: DATE ,5-Z/-Zd• <br />I'�E\�IE\V: <br />A PP RO\TA <br />' This total must be paid before building permit is issued. <br />llATE ' <br />DATE . 'Z�- ,I(�� <br />