Laserfiche WebLink
' ' ,:, ' <br /> BUILDING PERMIT INFORMATION <br /> ' ADDRESS �(j�S /`I���lT� ��CJ <br /> TYPE OI' BUiLDING J//'/G^LC �,%/���LY ��S%�,�/f�('',� DATE� "�J '� <br /> I) BUILDIIQG PERMIT FEE $ //S QO <br /> (A) PLAN CHECIC FEE $ � 7�S(� <br /> 2) WATER S�RVICE TO BE PAID B�.�FORE BUILDIATG <br /> P�E$7�T IS ISSUED 3 $_1�r UQ <br /> � <br /> (A) T BE DETERMINED BY PLBG. INSP._� IiiCii <br /> (B) EYIST, P7AT�R SERVICE, P.PPL. NO. <br /> (C) LOCATION �'�y • Qc'� �j�� <br /> CHART� -� <br /> 3) DRIVEWAY PERMIT TO B� PAID BEFORE BliILDING <br /> PERMIT IS ISSUED _� FT. /qS�t'/.G'GT D/VJ (TYPE) $ ,11� S�O <br /> TOTP.LT $��o r, G <br /> 4) STATUS OF SEWER CHARGES: — <br /> i30ND DISTRICT FOOTAGE ' <br /> N, S, E, �ti. <br /> LANllSCAPE NOTES SEWER CONNECTION CHARGES: � <br /> TRUNK $ <br /> LATERAL $�8-�-- <br /> TOTAL GONNECTIGN CFL9RGE $�— <br /> SEIY�R P�RMIT FEE $ �Q < � � <br /> CATCFI DASIN PERMIT FEE $ <br /> TOTAL SEWL•'R PFRMI'C FE�S $ 3O� O CJ <br /> 5) ?v10NTHLY SEW�It CiTARGES; , <br /> SEtiVER CONSTRUCTION: <br /> TRUNK $ <br /> LATERAL $ <br /> SEWER SERVICE: $_a ��� U <br /> LOCATIO?I OF �IDE 5E�vER OR TEE IN T'HE MAIN: CHART �j � 3tn- c2� • / �I�!'� � ��P� <br /> `(n � �To__�4P�Qo� (o I � .�, oF M. N, �M. u, �oe.��F� ia,.;,�;,-'�ze <br /> No=� Pk'ooee�y,LAV P,�o �c, q ,a� ,� aT w,E��/� <br /> INFO COMPILFD BY:� _ _ DATE � (- / �-?�-'�_ <br /> REVIE\N: �� rariL. DAT� /l-/5-9� <br /> 'TRAFFIC DIVISION <br /> APPRO`�AI . _ DATE f���� - <br /> r:;v(.UII�iEEP.ING DLPARTMEN'T <br /> >=This total m�st be paid �efori� building permit is issued. <br />