Laserfiche WebLink
DEPARTMENT Of COMMUNI.TY DEVEIOPMENT SERVICES <br />� � �91LD! (eIG PERIIAIT IPIF�RMATI�Id <br />� TYPE _ <br /> i ADDRESS $ <br /> (�) BUILDING PERMIT FEF <br /> (q) PLAN CHECK FEE <br /> (2j PLUMBING <br /> (3) MECHANICAL <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PCRMIT ISSUANCH <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR ----- <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (Cj APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUIL�R VEWAY(TYPE) S _ <br /> SUANCE FEET <br /> � <br /> (7) STATUS OF SEVJER CHARGES: F�OTAGE <br /> BOND �-DISTRICT ___. <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ <br /> CATCH BASIN PERMIT FEE $ <br /> TOTAL SEWER PERMIT FEES <br /> (7) MONTHLY SEWER CHARGES: TRUCK $ <br /> SEWER CONSTRUCTION <br /> LA.TERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART _�---- <br /> DATE <br /> INFO COMPILED BY: DATE -�- <br /> /�PPROVAL: <br /> 5-84 <br /> ..:a.. �___' . ,...-.,._. . . .__—_ ., . <br /> I <br /> s <br />