Laserfiche WebLink
DE�. ..fMENT OF COMMUNITI' JEVELO�MEh� SERVICES <br />BUILDING PERM1� INFORMATION <br />�1DDRESS � �� d ��otc ,�p TYPE GOMM <br />(1) BUILDING PERMIT FEE i`/�O��e}', �- s_/8p7,pp <br />(A) PLAN CHECK FEE yp,� 50283 <br />(2) PLUMBING — <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR <br />INCH <br />po. <br />�p 2-z ss�8 � 9'faz�f,. <br />(B) EXIST. WATER SERVICE, APPLICATION NO. '� 22A"�i r�z''E' <br />(C) APPROX. LOCATION l Ca " D.= r-n ��.� taPO .�x S r7- <br />►�C e� �. Om �e .��,. � R��W - 'Z le �(.�-'2l Fl <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE j- ¢S FEET�U�- DRIVEWAY(TYPE) 3 32•Sa <br />g �yi9. so . <br />(7) STATUS OF SEWER CHARGES: <br />BOND -�- DISTRICT <br />NOTES <br />1�R-�A � C�'�z s',,.,,�.,, <br />�� �-+�SE <br />�' i_�.�. -t �s- �c� <br />• d��� X �-,c?,c��W <br />Q.(, 9�� s/r/ <br />� QO Gg <br />� <br />�FOOTAGE 7�8 <br />N, S, � W <br />5��:�,- � <br />SEWER CONNECTION CHARGES <br />YEAR � TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />33?4. •La <br />$ �r-r,��^_,T -- <br />3379• z. u - _ <br />SEWER PERMIT FEE ZC��'� 5 �'�b . <br />CATCH BASIN PERMIT FEE 21���a�ea 2�D•ao <br />TOTAL SEWER PERMIT FEES $ � 270.00 <br />(7) MONTHLY SEWER CHARGES: p�N6� <br />SEWER CONSTRUCTION TRUCK ���Ig� S ��� �'• `� Q --- <br />LATERAL <br />SEWER SERVICE /�'�"� "��=�'-' _ <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �'���M�� ^�+ a�°p�� �b-_- <br />(_ INFO COMPILED RY: <br />APPROV,�,L: <br />CHARTP-�Z-28�! <br />DATE <br />DATE <br />., <br />,� <br />. <br />�I <br />J <br />