Laserfiche WebLink
.. ' - _ . ..:;,. , <br /> 7`'t � l)G�.t..i-Y 'Ji�,1... <br /> ENGINEERING DEPARTMENT <br /> BUILDING PERMIT INYOR1�ll1TION <br /> . ADDRESS �� �/fi`�' ';�<�'.c%�r.�:`;�% TYPE J��/Z„ <br /> 1) BUILDING PERMIT FEE ¢l��.�� ; �� � $ l �� � U <br /> � (A) PLAN CHECK FEE . s �L � <br /> 2) WATER SERVICE TO I3fi PAID SEFORE BUILDING • ' <br /> PERMIT IS ISSUED $ ;��,,Ou <br /> , <br /> , <br /> (A) TO BE DETERtdINED BY PLBG. INSP. 3 �,�_ INCti ��*- '�9 � `�U <br /> —r•�- N.'Gt_N l cn, c'� <br /> (B) EXIST. • WATER SERVICF., APPL. N0. ' <br /> . . (C) APPROX. LOCATION � " G � pr,r,� ��o � o� <br /> �' Au��r fU �°�u�� o� Ilo' W CHART S_"ZrG�P <br /> 3) D�IVEI�AY P�F�MIT T� E PQiID B OR�E BUIL��DING- <br /> PER�IIT IS ISSUED 'LS FT. l-��G 0/W (TYPE) / -/ $ /2. `�v <br /> �lo- �7'���f TOTP[L�� $ 3��. S-r� <br /> 4) S;�,TUS�SESJER CfiARGES: <br /> 80\D DISTRICT �'� FOOTAGE • <br /> N, .S, E, W. <br /> NOTES SEWER CODINECTSON CHARGES: <br /> YEAR i G^ TRUNK $ /9�, ��' . <br /> J� - /Z�- � v �� LA ERAL ,�v <br /> . / y $ <br /> � . TOT�CON� ON�CHARGE $ /��� �U <br /> .__ ,_. ....._ . _ SEWER• PEFLKIT FEE $ JO- ��J <br /> . � � . CATCH BASIN PERMIT FEE $ <br /> ' TOTAL SEWER PERAiIT FEES $ . <br /> 5) �:J°:�EiLY SELPER CHARGES: <br /> SEWER CONSTRUCTION: <br /> � • TRUNK $ � �5 <br /> LATERAL $ <br /> SEWER SERVICE: S /�, 'jZ� � <br /> APPROS. LOCATION OF SID� SEWER OR TcE IN THE MAIN: /Q'1�� LV pf-- N/ ,t,/ <br /> - ,c /O ' -T i�� .c' �4f . �v O�- N� c�.e Lc�- <br /> 7 9 . CHART � - "/.�-�_, <br /> INFO C��:PILED BY: � DATE <br /> REVIEi�': DATE <br /> ' PROJECTS DIVISION <br /> APPRO�'aL: DATE <br /> , ENGIN�ERING DEPARTMENT <br />