Laserfiche WebLink
� <br />ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS � �' � a ;:r' 1 � = ; �ren �� TYPE ^ /'-�r• <br />! <br />1) BUIi,DZNG PERMIT FEE • ! .• ���,r-�S�..e�x7 $ Q(o •e.�o <br />(A) PLAN CHECK FEE $—� <br />2) 47ATER SERVICE TO BE PAID BEFORE E ILDING P��' � ��� <br />F'ERMIT IS ISSUED ���� <br />$_Zod, Od <br />(A) TO BE DETERMINED BY PLBG. INSP. %s,t INCH ``f1:�<-:=--cJ,�a--c�-�t--�`�t <br />(B) EXIST. � WATER SERVICE, APPL. N0. — <br />' � _ , r ,e <br />(C) APPROX. LOCATION �3,'' ' _ °. "4.. },' . ;p. <br />. - <br />I,�,.t, ,��.,; R���+y^c:ar� .. . ^_i�-23—s <br />CHART � <br />3) �:t:l'LiSAY PERMIT TO Bf: PAID EiF.c'ORE; BUILDING <br />PEit:IT IS ISSUED � FT. ,4��F D/W (TYPE) <br />, .. <br />TOTAL* <br />�) 5.;::;;5 OF SEWER CHARGES: <br />��::�� T� DSSTRICT 3_'3 FOOTAGF — <br />N, S, E, W. <br />3 -33 - �3�f - c�o <br />51:�ti'ER CO'�STRiSCTION: <br />SEWER SERVICE: <br />.._ -.. _.. :_ '�':TIOy OF SIDE SEWER OR <br />_�o� M l� 7-C-z 7'� �..�f'e^F;' r <br />_''��LL�'._L.�„ `L.a:r^ �•�'¢� <br />—•- � - -- -L�D BY: <br />SEWER CONNECTZON C;iARGES: <br />YEAR �7 G TRUNK <br />TOTAL CON:vrECT16*1 CHARGg <br />SE�+'ER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERD±IT FEES <br />TRUNK <br />LATERAL <br />PEE ,IN, THE MAIN: $=�.i., � <br />RB!' _ �., . <br />PROJECTS DIVISION <br />P.P?3_'..._ . _c====-w���_/L/o �l <br />- '" ENGIMEERING DEPrIRTMF:NT <br />(f• OC� <br />S— •`�— <br />$ .�.�Ga <br />��y.. a-�:) <br />S ! 9 2 .s� <br />s z3z .sa <br />s q zsoa <br />$ �O, or) <br />$ -- <br />�p,OD <br />S ��o <br />$ 2 , x 5' <br />$_ 2. 75" <br />$ 2.SD <br />. y.:'s /�8 �"'�". <br />mu+i..�," � e-r� � <br />S-/4-28 S <br />DATE �f-Z9-7� <br />DATE <br />DATE ��P�� <br />