Laserfiche WebLink
i <br /> Z��7���7 � <br /> I <br /> _ �NGINEERING DEPARTMENT � <br /> BUILDING PERMIT INFORMIITION � <br /> ADDRESS¢(pZ �j �GE...i/Gt�pFj,o TYPE �J•�/L <br /> 1) BUILDING PERMIT FEE � '�%%c7• `'�'� $ �Qc, �O <br /> (A) PLAN CHECK FEE -�?./�S�G S �10�J ._ <br /> 2) WAiER SERVICE TO HE PAID BEFOEE BU=LDING • <br /> PERMIT IS ISSUED $ 2��, pa <br /> (A) TO BE DETER2dINtD BY PLSG.' INSP. 3 �� INCH �L�4. �3 • °`—' <br /> ---r�r- M�.l . f�.��� <br /> (B) EXIST. WATER S�:t2VICE, APPL. NOe ' <br /> . . (C) APPROX. LOCATION I �. � �D.3 � G�l�-j,.lwp�r n <br /> CHART (,(J-'ZLG _ <br /> 3) D�IVEi�AY PERMIT TO BE PAID BEFORE BUILDING <br /> PER�IIT IS ISSUEDl� FT. �r- f�tila��> �/W (Typg) ,S 7, 5"� <br /> TOTAL* $ ?j9O. � C� <br /> 4' S;:,TUS OF SE�JER CHARGES: - <br /> SO:dD_�_ DISTRICT�_ FOOTAGE � ' <br /> N, S, E, W. <br /> NOTES SESd�R CO�NECTION CHAFGES: <br /> YEAR �_ TRUNK $ �Z/D � d U <br /> 3 -19- 2roa - o� T x�, � p`"�� $ :40 _ 00 <br /> /�c�. � .�"�.J-,� S8 <br /> e TOTAL CONN -TICx1 CHAP.GE S '`�—`�-�• �d <br /> � . SEWER PERt•SIT FEE $ vD• �� <br /> , , CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER r'ERI�iYT FEES $ JD• Q� <br /> 5) ::J:�;'c:LY SEitiER CHARGES: — <br /> SEL�7ER CONSTRUCTION: <br /> � . TRUNK $ /, /S—' <br /> LATERAL $ � � Z �> <br /> SEWER SERVICE: $ Z, J� <br /> APPRJX. LOCA�ION OF SIDE SEWER OR 'PEE S23 THE MAIN: �Q �'� .S 4r �CfGU <br /> �� r / 'S�rs,�ti� . J r".�t r i s'+ 5 a� ,c.1 r� rn� ,�r�t o� <� <br /> ?�f�zOx � ' ��sv n.r l� ` I:HART /�/ 3 � � L9� �f <br /> INFO .:�?:PILED BY: DATE <br /> REVIEiC: DATE <br /> ' PROJ�CTS DIVISION <br /> APPRO�'AL: DATE <br /> _ ENGIh�ERING DEPAI2TMENT <br /> '�c- .x:_�. • <br /> _��������r�.ii _i.a <br />