Laserfiche WebLink
� � �y �v <br /> DEMRiMENT OF COMMUNI*Y ��fVELO�MENT SERVICES <br /> BUILDING PERMIl" lNFORMATION <br /> � ��� 7�,g TYPE �' � <br /> ADDRE55 � L ' � �L'��" `� <br /> (1) BUILDING PERMIT FEE �DOC9- `� $ /� •7O �uE <br /> (A) PLAN CHECK FEE 2 d- [�o <br /> (2) PLUMBING 2!• '-� <br /> (3) MECHANICAL 23�• `� <br /> (4) WATE," `"Q•VICE TO BE PA!D PRIOR TO BUILDING PERMIT ISSUANCE <br /> INCH <br /> (A) TO dE DETERMI��T RBSERVICE,PAPPLOICATION NO. <br /> (B) EXIST. � �.� P <br /> (C) APPROX. L.00ATION � �� � "� 'OnP'���` —Z <br /> � pF �.(�t.�,� �CAART W - 2� I <br /> � <br /> (5) DRIVEWAY PERMIT TO BE PAID�RIO������DRIVEWAY(YPE) S <br /> /O- nc•� <br /> SUANCE ��' FEET �--,•-- $ �rJ 7, 70 <br /> (7) STATUS OF SEWER CHARGES: � _FOOTAGE _— <br /> BOND �DISTRICT � <br /> N, 5, E, W <br /> NOTES <br /> SPc-�i c�cr 5�tvc�2 c�ec.i� <br /> O �G'D (..vto4- 8� <br /> ��p � <br /> ,S � .�� 2/L!. d l� <br /> SEWER CONNECTION CHARGES /`��D� <br /> YEAR �� TRUNK $ _ <br /> LATERAL ��� , �(J <br /> TOTAL CONNECTION CHARGES $ <br /> �� 9I4�� � 5 ,�..�0 <br /> SEWER PERMIT FEE �3 __� <br /> CATCH BASIN PERMIT FEE �,QO <br /> TOTAL SEWER PERMIT FEES 7- $ <br /> (7) MONTHLY SEWER CHARGES: TRUCK $ �`?� <br /> SEb:�ER CONSTRUCTION <br /> LATERAL 5 `O <br /> SEWER SERVICE �, �,� � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: � ��� �' `��—'� <br /> n �eo.n �O �'T G� /�/!" �� � .� v A <br /> �,�� 7v P�t� CHART � �� "a — <br /> — ^�L <br /> 'De��' - _ , <br /> DATE <br /> INFO COMPILED BY: DATE — <br /> APPROVAL: <br /> 41�79 <br />