Laserfiche WebLink
� .� �[f•..j I <br /> BUILlJING P�I��VIJT INF(.?RMATION ; <br /> ADDRESS ���3 ��I.l./�PEL �e . TYPES<,t/CcG.E �Y�3 i <br /> (1) BUILDINC PERMIT FEE ���•� g �9' �Z � <br /> (A) PLAN CHECK FEE �p� �` B f <br /> (2) PLUMBINC BD��Z� � � <br /> ��, <br /> (3) MECHANICAL �(j3 '��\4t i <br /> ,,: <br /> (4) WATER SERVICE TO �c P,qID PRIOR TO 3UILDING PERM�IT/I-SSUANCE �lX� �� <br /> (A) TO BE DETERMINE� BY BLDG INSPECTOR � INCH �� 0�i• /°f+'t.� ` <br /> (B) EXIST. WATER SERVICE, APPLICATIGN N0. ,-. � <br /> (C) APPROX. LQCATION , � <br /> ' � �F' � <br /> CHART ."' f <br /> �` f <br /> (5) DRIVEWAY f'ERMIT TO BE PAID PRIOR TO BUILDING PERi�41T IS- �y�; � <br /> SUANCE FEET _DRIVEWAY(TYPE) S �� • �� ' <br /> $ �a . <br /> �,: <br /> (7) STATUS OF SEW�R CHARGES: <br /> BONC� �_ DISTRICT FOOTAGE � � <br /> N, 5, E, W " <br /> NOTES <br /> 'SPE�/QC. 4`7!L<7y ��-� ��� _...:�•:�,na�� ;; ;�i\�`." <br /> o� <ni� 5- ; ,, . ,; <br /> ,, . <br /> �y o . ` ,. <br /> ?24 . �v , ,� � � z . � <br /> �.�au�e 58q. �a . . ; ; <br /> , � ." / 3 • � 1 <br /> � . • � <br /> '•:� t� SEWER CO�INECTION CHARCES ' �.. � <br /> �, ` } YEAR �7 TRUNK S _ �Z�D�O� � <br /> � � LATERAL _ � <br /> , 70TAL CONNECTtON CHARCES S . �7O•Bd I <br /> , . , i <br /> � <br /> SEWER PERMIT FEE S � '� ! <br /> . CATCH BASIN PERMIT FEE � _ � <br /> . ' � TOTAL SEWER PERMIT FEES $ ��' <br /> �. .. . .. f <br /> (7) MONTHLY SEWER CHARGES ; <br /> SEWER COh :;1R�JCTION TRUCK � � <br /> LATERAL ' <br /> SEWER SERVICE � <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �� ' ` ' <br /> i i <br /> � � ' ChIARI <br /> • ..:��` <br /> y, r � <br /> .�_ -`Y <br /> INFO COMPILED DY: DATE i <br /> APPROVAL: DATE � <br /> , . ti I <br /> ,, r <br /> �� . :. ,. y I� i � <br /> . , . ; - . •. .r.j . <br /> � . <br /> 5'B4 .'-L... � , I <br />