Laserfiche WebLink
3 2 2 .c.la g� Gaevt n-� . <br />ADDRESS � TYPE <br />(1) BUILDING PERMIT FEE 35�16�J• �� $ ��� � � <br />(A) PLAN CHECK FEE pA � 4q��Z <br />3�. a o <br />(2) PLUMBING <br />(3) MECHANICAL g7O bo <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG INSPECTOR 2- INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO. <br />(C) APPROX. LOCATION l" G 1. M,oi,c� adPG'mx �SF'i <br />��F � pF /YASSa1r CHART �" 3� <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- `� p_ <br />SUANCE 2 S FEET ���G DRIVEWAY(TYPE) S <br />g /5 80• S�O <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE �"� <br />N, S, E, W <br />NOTES <br />�P�n � he�t.�2 Cu,a+a*.� c: <br />.+ � . <br />7/s�— S o <br />1- <br />Co�9.�S � <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />a <br />TOTAL CONNECTION CHARGES $ <br />SEWER PERMIT FEE � <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />a� ��9 �5 �. o� <br />�D_ao <br />I��I�g �D -d a <br />�� <br />_� <br />TRUCK 5 <br />_� <br />LATERAL <br />M�rx� <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN�HE MAIN: �� ���>�C��� �' <br />INFO COMPILED BY: <br />APPROVAL: <br />41•79 <br />CHART �' ���- � <br />DATE <br />DATE <br />