Laserfiche WebLink
1 �% ."; <br />� ` DEMRTMENT OF COMMUNITY DEVELO�AIENT SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS S � `ti�"'L�L�� TYPF _ <br />(1) BUILDINC PERMIT FEE ��L�U��•� <br />(A) PLAN CHECK FEE , <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4j WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDC INSPECTOR �Q- INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION .-- <br />�✓ �2. <br />f 2 � •OO <br />�b.�-7�s�4.s <br />2!0• �a <br />!Z•oa <br />OD.pD <br />, � <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S 2D• D!� <br />b <br />(7) STATUS OF SEWER CHARGES: <br />80ND DISTRICT fOOTAGE �' ��� <br />� N, S, E, W <br />NOTES <br />— �-'- i - s <br />� � ' �� ' <br />r <br />/ ' <br />t� rr �/ <br />0 <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH E3ASIN PERMIT FEE <br />TOTAL SEbYER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />E� <br />3 <br />b ? ' �ZJ <br />g ��Bi� <br />TRUCK b <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />I NFO COMPI LE D BY: <br />APPROVAL: <br />s-en <br />CHART <br />DATE <br />DATE <br />