Laserfiche WebLink
Z�FPARTMFHT OF COMAIUNtTI' CEVELOPMENT SERVICES <br /> BIJILGtI�I� PE�t�ti��°�- � r� �r���,��r�o�v <br /> ADC.�I:ESS _TYPE __ <br /> (1) Bl71LDING FERMIT FEE $ _ <br /> (A) PLAN CHE�K FEE <br /> (2? PLUNBINC _— — <br /> (.3) MECHANICAL " _— <br /> (4) WATER SERVIi.[ TO Br PAID PRIOR �Q E3UILDING PERMIT ISSUANCE _ <br /> (A) TO BE DETERMINED BY BLDC INSi'ECTOR INCH <br /> (B) EXIST. WA i ER SERVICE, APPI.ICATION NO. <br /> (C) APPROX. LOC.4TION _._ <br /> CHART <br /> (5) DRIV(:WAti' PERMIT TO BE PAID PRIOR TO BUILDING ?ERIv11T IS- <br /> SUnNCE FEET DRIVEWAY(TYPE) S <br /> � <br /> (7) STATUS GF SEWER CHARCES: <br /> BOND DiSTRICT FOOTAGE <br /> N, 5, E, \'V <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LP.TERAL <br /> TOTAL CONNFCTION CHARGES $ <br /> SEWER PERMIT FEE $ — <br /> CATCH BASIN PERMIT FEE <br /> 70TAL SEWER PERMIT FEES $ — <br /> (7J P.10NTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK � — <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE �FWER OR TEE IN THE MAI�: <br /> CHART. <br /> INFOCOMPILEDBY: _ --._ _.. DATE <br /> APPROVAL: _ — _ DATE <br /> �.�.» <br />