|
i• "'�'� ��
<br />i:.;.:� ���,
<br />,
<br />BUILDING P�RMIT INFORMAYION � ' ;,
<br />� . � � �.l � ,k i.' ' �.
<br />, � , �. V . . .I 4� '+,
<br />}.,� i • f' '.�
<br />ADDRESS �2�2 �YL�'—�/Ji,tlC� �J% TYPE �1N LE �A.MiG�,�3 :�
<br />(1) BUILDING PERMIT FEE l�C7t�t•i�• � s �9�� �� 'j
<br />/
<br />(l�) PLAN CHECK FEE /���0 ' ` �= �:;( 'p
<br />(2) PLUMBING S•O�" ..�" � 7�
<br />(3) MECHANICAL �'�� �4!'� "
<br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �JD' � "' i�
<br />w
<br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH ;,. ;,;, `��
<br />(B) EX!ST. WATER SERVICE, APPUCATION NO. , , - ' • _:i ;�
<br />(C) APPROX. LOC�.TION , :' j.e� �1. �, '�
<br />,
<br />� ; ..; �
<br />� :�: ;b:
<br />CHART — . . .. . ;.,: ,y'
<br />� 'r
<br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ' ?, �, �-j��:' .,�{�' 'r�
<br />SUANCE FEET DRIVEWAY(TYPE) S 2�'�� �' V�I� �
<br />, , . . . . . , , „ s . . � 'i �. .. ..� i' IjJ � '1�
<br />. 1 � � . � i � . . � . � . . , . . �. . �� f �
<br />(7j SUTUS OF SEWER CH11RCE5: , � j�
<br />BOND Z DISTRICT � FOOTAGE � ; � ��
<br />N, S, E, W . . . . . '1- ,�
<br />+ -'"�. �i
<br />NOTES �;'i ` !+
<br />, . , .j... ;���; t
<br />1 ' I � �
<br />�F�oc. unc.rrl � : �,: ,�� �� � . ; � � ,�,�
<br />. ,�;��. , .:� q
<br />oao t�7�- Ss- . � 3�., r- --� :,;;
<br />,;
<br />� � i7Q.BO , . . � _.;
<br />, ; : : --� �
<br />, j,
<br />S�u�erz 47l •Oa . . ; ;: � t�i� ';
<br />CiSO• �� . ' ' . ' _ ' �,,:
<br />� �;
<br />SEWER CONNECTION CHARGES - � _ �:,
<br />YEAR �7 TRUNK S ���'�� -' �
<br />LATERAL ¢��`� � � •
<br />TOTAL CONNECTION CHARGES S ��`�� .�'
<br />SEWER PERMIT FEE
<br />CATCH BASIN PERMIT FEf
<br />TOTAL SEWER PcRMIT FEES
<br />(7) MONTHLY SEWER CHARGES:
<br />SEWER CONSTRUCTION
<br />s 30.Da
<br />; .,�0• OC�
<br />TRUCK s
<br />LATERAL
<br />SEWER SERVICE
<br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN:
<br />INFO COMPILED BY:
<br />APPROVAI:
<br />7/97
<br />CHART
<br />DATE
<br />DATE
<br />�
<br />
|