Laserfiche WebLink
BUILDING PERMIT INFORMATION <br />ADDRESS TYPE�� U.t/cr L�P7. <br />(1) BUILDINC PERMIT FEE 2fJj,B�•s� f 70b. S'O <br />(A) PLAN CHECK FEE /�r� <br />(2) PLUMBINC /�O, C� O <br />(3) MECHANICAL �p��pa <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE �m50.00 <br />(A) TO 6E DETERMINED BY BLDG INSPECTOR 2 INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />— CHART <br />(5) DRIVEWAY PERMIT TU BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S <br />S <br />r,7) STATUS OF SEWER CH�RCES: <br />BOND "'– DISTRICT — FOOTACE �`�=f�"�� <br />N, S, E, W <br />NOTES <br />S Rs�rp c. S�u�-�P� �s <br />a,e o <br />HZ c� <br />�-'*�'7f_'� <br />//7!- 8 s' <br />/0 3¢. Ss� <br />2�2�.4s , <br />{i 37 <br />SEWER CONNECTION CH�RGES <br />YEAR TRUNK f _ <br />LATER1IL <br />TOTAL CONNECTION CHARGES S <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOT.AL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />s•ea <br />s �O-�O <br />_�- <br />s 30� d _ <br />S <br />C:HART <br />DATE <br />DATE <br />