Laserfiche WebLink
�; <br />ENGINEERZC]G DEPARTFIEtiT <br />BUILDING PERMIT I*IF� T1pN <br />ADDRESS � ( �G C� F �t•� v <br />T__---- <br />1) BUILDING PERMIT FEE �%: �CJ,, �, `"-� <br />(A) i'LAN CHECK FEE <br />2) 4iATER SERVTCE TO D� PAID BEFORE BUILDZNG <br />PERMZT IS ISSUED <br />{A) TO BE DETERMINED BY PLBGe INSPa `'c� INCH <br />(Bj EXIST. WATER SERVICE, APPL. N0. <br />(C) APPROX. LOCATION <br />rYPE C��.� .,�,, . <br />$_ _ % �%� E':J <br />S /r4, o�� <br />$ ' <br />/� ��,. �/. oa <br />�q�{1 �3, o0 <br />CHAk2T <br />3) D3iVE�9AY PERl�fIT TO BE PAID DEFORE BUILDING <br />PER.`•]IT IS ISSUED �j�S ETe �H� D/:Q (TYPEj g //L, '�� <br />TOTAL* $ <br />4) S;:,TUS OF S£WER CHr1RGES: <br />� &���U — DISTRICT <br />_ FOOTAGE��� •r� 7 . A .� <br />N, S, E, W. <br />SEF�R CONSTRUCTION: <br />aa.ATER SERVICE: <br />SEWER CONIIECTIOh' CHARGES: <br />YEAR �"J TRUNK <br />Z+ATERI�L <br />TpTAi. CONNECTION CH1,P.G� <br />SEi�TE7 P�� g�l <br />�� � 1�l �-,� <br />CAT::H BASIN PERI�fIT FEE <br />TOTAL S::WER PERA;IT FEES <br />TRUNK <br />LATERAI. <br />$ <br />$ <br />S <br />$ ���� � <br />$ �� ' �� <br />S �O. 00 <br />$ <br />$ <br />$ /U�i�7Z�T� <br />APPnJS. LOCATION JF SIDE SES9ER GR TEE IN THE MAIN: iL, >>� ,F �.- 4�-r c� <br />L2� NJ ,L-/ / �cJ <� L, /_-i'..- � s�' l�a�i�ri,r,. -7 ,-,- -n.,, _ '_-�_`�'�_ . . — <br />INFO �0?;PILED BY: <br />REVIEi�: <br />' PROJECTS DIVISION <br />APPRO�'.1L: <br />ENGIN�GRING DEPI�RTDlliN'[` — <br />'��TZ1ir�►w'i•�d-irltjwi►i.�`t�.• <br />DAxE <br />DATE <br />DATE <br />i!� <br />