Laserfiche WebLink
BUILDING PERMIT INFORMATION <br /> ADDRESS G�� ��J /���/��I�C�U {�Gf/F'� <br /> TYPE OF BUILDING �� � � <br /> DATE �—�S_� <br /> 1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FEE ��3�� �' � <br /> 2) 1'JATER SERVICE TO BE PAID BEFORE IIUILDING $ C' ( ti f; <br /> PERMIT IS ISSUED <br /> � �O,___ O O _ <br /> (A) TO BE DETERMINED By pI,BG. INSP,� INCH <br /> (B) EXIST. WATER SERVICE, Appi,, NO. <br /> (C) LOCATION c1T S. C �,/:!)lr'F%i'-`f C'�G��fV,�'�� <br /> CHART ,S-a�(o <br /> 3) DRIVEtiYAY PERh-fIT TO BE PAIll BEFORE BUILDING <br /> PER7�4IT IS ISS�7�D � FT, CO/YC� rE D/�V (TYPE) <br /> . �, /,d.s v <br /> 4) STATUS OF' SE�4TER CHARGES: TOTAL=` '$�c.� � �) <br /> BOND '�. DISTRICT .s C'� FOOTAGE <br /> N, S, E;•ry; <br /> LANDSCAPE NOTES SEWER CONNECTION CHARGES: <br /> TRUNK � ��� � � <br /> LATERAL �_ <br /> TOTAL CONNECTION CHARGE $1�(J, (���� � ���5 <br /> ��i. <br /> SEWER PERMIT FEE � 30 � � � . T� <br /> CATCH BASIN PERMIT FEE �--�_ <br /> TOTAL SEWER PERMIT FEES $ �O. OQ <br /> 5) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION: � <br /> TRUNK � �. �.� <br /> LATER.AL �_— <br /> SEWER SERVICE; <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN; CHART (,�- J'_� $ S � U <br /> STvg l,o e„���s� /�l�C' x �o ' l.v t�f' M N <br /> � — , �l r 4�v,v%�, , 4 � .��, � <br /> - L <br /> iNFO COMPILED EY': <br /> �] ` � DATEJ'/7-7�-__ <br /> REVIEN': _ /�����r�` <br /> DATE �'�"l-7�" <br /> T AFFIC DIVISION --___ <br /> APpROVAL: � �rt,� �g4, ` <br /> U /ENGIN ERING DEPARTMENT DATE I- Zd -j S _ <br /> °�This total must be paid beEore building permit is issued. <br />