Laserfiche WebLink
� <br />� <br />gU1LDiNG <br />�,,! <br />pERMIT INFORMATION <br />us� pg ) <br />TYPE <br />5r�vu� �M• �� <br />ADDRESS � � $ �Z33• `� v <br />(1) BUILDING PERMIT FEE `39,O�b'—" j�r �' �0'��� .. <br />(q) PLAN CHECK FEE /D • d b_— <br />(2) PLUMBING ,_ ��v--- <br />(3) MECHANICAL ' ¢��" �� <br />(4) WATER SERVICE TO 8E PAID PRIOR TO BUILDING FEvM�T� ISSUANCH C�6E'f�� <br />(�y) TO BE DETERMI �� ERBSERVICE,PAPPLOICATI NO N�• <br />(B1 EXIST. _— ' ��`� ��2� l�t�- � <br />(�) APPROX. LOCATION �2 <br />tA� hr-_ � _ �I�; " � .`u� CHART <br />(5) DRIVEWAY t'EKN••T TO BEFEETD PRIOR TO BUILDR VEWAY (7YPE) 3 <br />• SUANCE 5 <br />(7) STATUS OF SEWER CHARGES: FOOTAGE _— <br />� DISTRICT _�— <br />80ND � N, 5, E, W <br />NOTES <br />S� � 5 <br />SEWER CONNECTION CHARGES �� O � <br />YEAR ��' TRUNK 5 �4S �� <br />LATERAL —( � . C9(J _ <br />TOTAL CONNECTION CHARGES E —� <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />=' ` TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: j�RUCK <br />SEWER CONSTRUCTION LATERAL <br />S ,'��-D-OU <br />E 2, Q. C9 D <br />S <br />' SEWER SERVICE 8' �,a� ,d e Z�� � <br />' APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: � F �� <br />� r u/ Lcu�' � � T — <br />6F CHAR <br />, � <br />INFO CQMPILED BY: <br />APPROVAL: - <br />s•sa <br />� <br />DATE <br />DATE <br />