Laserfiche WebLink
1 <br /> DE►A�1'MENT Of COMMUNITY DEVELO►MENT SERVIC�S <br /> BUILDING PERMIT INFORM�4TION <br /> � <br /> ADDRESS TYPE <br /> (1) BU�LDING PERMIT FEE S <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBINC <br /> -� <br /> . (3) MECHANICAL ' <br /> (4) WATER SERVICE TO DE PAID PRiOR TO BUILDING PERMIT ISSUANCE <br /> (A) TO BE DETERMINED BY BLDG INSPECTaR INCH <br /> (B} EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART_ <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILUiNC PERM�T IS- <br /> SUANCE FEET DRIVEWAY(TYPE) 5 <br /> 5 <br /> (7) STATUS OF SEWER �HARGES: <br /> BOND DISTRICT FO�JTACE ' <br /> N, 5, E, W <br /> NOTES <br /> � <br /> SEWER CONNECTION CHARGES I <br /> YEAR TRUNK b <br /> LATERAL ' <br /> TOTAL CONNECTION CHARGES S � <br /> SEWER PERMIT FEE S <br /> CATCH BASIN PERMIT FEE � <br /> TOTAL SEWER PERMIT FEES 5 <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 5 <br /> LATERAL <br /> SEWER SERVICE <br /> nPPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> _ I <br /> CHART <br /> I NFO COMP!LE D DY: DATE �_1 <br /> APPROVAL: DATE <br /> � <br /> 41-79 � <br />