Laserfiche WebLink
� <br />BUILDING <br />PERMIT INFORMATION <br />ADDRE55 TYPE <br />(1) BUILDING PERMIT FEE '5���•� <br />(A) PLAN CHECK FEE <br />(2) PLUMBINC <br />(3) MECHANICAL <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMI ISSUANCE <br />(/1) TO BE DETERMINED BY BLDG INSPECTOR _� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />-.� • <br />- � , _. ♦ <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �p� �,� <br />SUANCE FEET DRIVEWAY(TYPE) S �/`� ` '� <br />' S <br />, (7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT fOOTAGE <br />N, 5, E, W <br />� ' <br />� <br />NOTES <br />� ! AL 4T<L �7}0 <br />d� �i7/ 8 s <br />�Z� �/7�'!-00 <br />� ¢� /• �� <br />� ��� <br />��� <br />u <br />SEWER CONNECTION CHARGES ���,�� <br />YEAR B�% TRUNK S <br />LATERAL �OOO <br />TOT11L CONNECTION CHARGES S ?��'�� <br />SEWER PERMIT FEE <br />CATCH BnSIN PERMIT FEE <br />TOTAL SEWEk PERMIT FEES <br />`p) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S 3O, aD <br />S �� Od <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />��� <br />CHART <br />DATE <br />DATE <br />