Laserfiche WebLink
w <br />L <br />ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFOR14ATION <br />ADDRESS D I>f TYPE �n ✓Yi Ai. <br />1) BUILDING PERMIT FEE IZ?,clY�tD• ��' $ 3�1 S� <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETER24INED BY PLBG. INSP. i INCH �Lrn 33. &0 <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />CHART W-3Z <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PER?IIT IS ISS U FT. D/W (TYPE) <br />TOTAL* <br />4) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE �/o77- !,y <br />N, S, E, W. <br />NOTES <br />5) ?:_N.;;LY SEWER CHiiRGES: <br />SEWER CONST.RUCT?ON: <br />SEWER CONNECTION CHARGES: <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />Ci_ <br />SEWER PERb1IT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PE SIT FEES <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />APP-M. LOCATION OF SLIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />REVIEW: <br />PROJECTS DIVISION <br />APPROVAL: <br />ENGINEERING DEPARTMENT <br />DATE <br />DATE <br />DATE <br />$ <br />$ <br />$ <br />CIO v-o <br />