Laserfiche WebLink
. .__._ <br /> ,.. .>::�.--:-,-.-... ��,�.-, <br /> . . . <br /> . . . .. ^-- . . o m_._ . .. .a. >_.. . � . _.. _ ... .. . <br /> \ t � •�' � <br /> � ENGINEERING DEPARTb7ENT <br /> .. BUILDING PERMIT INPORhIASION ������ �µ0� 1 <br /> r _ / <br /> ADDR�SS �O / �IJ��Lru/Z.��N ��/� Y TYPE LO.N�'� . <br /> 1) BUILDING PERMIT FEE �^� b0•��' $��j^ . � <br /> (A) PLAN CHECK FE� ,S_ �l y Z,�S— <br /> 2) WATER SERVICE TO BE PAID BEFOF.E BUILDING <br /> PERb1IT IS ISSUED ,S_�Q � <br /> (A) TO BE DETERIdINED BY PLBG. INSP. � INCH �P'�' I� <br /> ��_� <br /> (B) EXIST. WATER SERVICE, APPL. NO. i•t(��_� r(• � <br /> (C) APPROX. LOCATION r o� !/ C� �� .��J(itJ �Z � � O � <br /> � � IJ E R G(l f�'�t/ G�/B�-� CHART �N �4 3 <br /> 3) DP.TVE[VAY PER.'NIT TO E PAID BEFORE BUILDING <br /> P�F2i•iIT IS ISSUEDZ� FT. � D/W (TYPE) $� <br /> TOTAL* $ <br /> 4) STATUS OF SEY�R CHARGES: <br /> BOND_� DISTRICT_ ,3S FOOTAGE 9 7 FT <br /> rr s, E, w. <br /> NOTES �� SEWER CONNECTION CHARGES: <br /> � ��ID C�TCN $A5/.(IS YEAR �ICv TR:JNK $��9. aZ9 <br /> S (-EOt.J�� L�rERAL $�OOaO <br /> � 1QTAL CONNBCTION CHARGE $ ��v .�_ <br /> SEWER PERh1IT FEE $ � O �� <br /> CATCH BASIN PERh:IT F���a��A $ <br /> �?O�HA!N <br /> 1 TOTAL SEWER PERMIT FEES $ <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: <br /> /�IOTC � GUI���{l S�LUEf2 P�(LN/T ISS��C7 TRUNK $p2 . CJ � <br /> NOTlF� �TfL!'T'� �)L�I.uG Ttl (2LDUCE FOOTAG�ATERAL $ �, �_ <br /> �'clF,qa�E S '�'o Accr ,3 3 S/y i �i (8 9 i/) �o � <br /> �p �S SEW R SERVICE: � $�}�'7E/LEj� <br /> O �' �7l2UUK�a,�9�" L/-�Tf_2qL� ,,'�j. �o�j) . <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE A1AIN: 2,�-�� TRV.N{G <br /> A�/R I��4 R�.F_ �Go,rJG �o2TN �-I�UE O� P PE 7'Y /S UEE�— <br /> CHA T � - � :�- 2 �5- <br /> INFO COMPT_LL''D BY: L`ATE <br /> �EVI�W: _��aM�• ��Ill�i � 9uT^"' _ DATE <br /> 1 PROJEC S DIVISION <br /> APPROVAL: DATE <br /> ENGSNEERING DEPA TMENT <br /> ��''9vs�-c. �.uDir--� �� � � <br /> � ���� <br /> * This total must be paid before building pernit is issued. <br /> . <br />