Laserfiche WebLink
rl . . <br />ADDRESS <br />1) BUILDING PERMIT FEE <br />(A) PLAN CIi�CK FEE <br />ENGINEERING D�PARTMENT <br />BUILDING PE�'cA�IT INFORMATION <br />� <br />2) WATPR SERVIC� ^10 BE PAID SEFORE bUILDING <br />PERbiIT IS ISSU�D <br />(A) TO BE D�TERMINED BY PLBG. INSP. %'/.�: INCH <br />�B) nXIST. -- iVATER SERVICL;, APPL. N0. — <br />(C) APPROX <br />TYPE C. r. <br />$ 20U'. o p <br />��-g� <br />Mt�� � <br />LOCATION / 2 ' (//n e � � <br />�nin = 7 ly o� �c i� /= r r nf,--�f <br />CHART S- i Q 7 fj <br />3) DRIV�WAY PERMIT TO BE PAID EEFORE BUILDING <br />PERI�lIT IS ISSUED 2— 2 S" PT. �c q F D/{+1 (TYPE ) <br />7 <br />ij�� TOTAL* <br />4) STATUS OF SESVER CHARGES: Z-- • <br />BOND�_ UISTRICT r,�. FOOTAGE � <br />� <br />N. � W. <br />3-0�- Z�;-OI <br />I /�e��i:nf .f�l.ow� Tm� '- <br />� � - - <br />Z. - n —,��_--� -�-T—=ar-=f n *r <br />—� / <br />3 " �. .. D�nin cyv <br />•¢- [iri�ewnNS' (QVF7k! <br />� <br />S--,C_a��dsca�.n �(Lp_l.J <br />s�.r �o� �,.�s <br />ux CriHxGL•'S: <br />SiSVER CONSTRUCTION: <br />SEF1�R CONNECTION CHARGES: <br />YEAR �7 � TRUNK / <br />LATERAL <br />TOTAL CONNECTION Cin <br />� 25 . G�) <br />i <br />SE�9ER PERMIT PEr 30''� l��� .�a� <br />�'J � �„� �._--� �O. op <br />�� 6 <br />CATCH BASIN PEi'vili' FE ��•c'�`4$ <br />��� �>a%w <br />TOTAL SEWER PERMIT FEES $ ���- �G <br />TRJNK <br />LATERAL <br />$ D.�'% <br />$ �09 <br />SE�VER SERVICE: $�{�'%c•eci <br />APPROX. LOCATIO:d OF SIDE SEF'ER OR TEE IN THE MAIN: •'�""�k .'°' <br />� O � �z ..a... i.^ r�cc-i� �-e�' <br />n n l� c�ar o{ S. �'�� A�ti l LO L7PPYJ _-_--�h <br />CHART C - � - zR -y <br />INFO COMPT�ED BY: �,��% ,� . � DATE 6/jo �' <br />REVIEW: <br />DATE <br />* This total must be paid before building permit is issued. <br />