Laserfiche WebLink
'' 1 �\ <br /> DEMRTMENT OF COMMUNITY DEVELO►MENT SERVICES • <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS � l� �fA�L� hT, _ TYPE CU'`�� <br /> (1) BUILDING PERMIT FEE �� �A�"�``� S 3��' �� <br /> (A) PLAN CHECK FEE P�- �' S3/9� <br /> �, �U <br /> (2) PLUMBINC ' <br /> (3) MECHANIC1IL �� �� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE 2 3c'� °v <br /> (l1) TO BE DETERMINED BY BLDG INSPECTOR� �NCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. , <br /> (C) APPROX. LOCATION I2' G2 n+»�✓ ���� 2��T <br /> E o�� �F �.C� CHART '� - I'1- Zq-S <br /> (5) DRIVEWAY PERMIT TO BF PAID PRIOR TO BUILDING PERMIT IS- ,� , � � <br /> SUANCE �5 FEET �����--rr DRIVEWAY(TYPE) S <br /> s Sfo7. 5J <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE �-/�-r1/��vo <br /> N, 5, E, W <br /> NOTES ' <br /> � Dl�/��0�.�.ac'�r F"�� <br /> �Q� 7l5-8 a <br /> �?-gD '3 � <br /> . o��`f K 3�s-v � �/B/.�� <br /> SEWER COl�NECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES s <br /> SEWER PERMIT FEE s `�`U B_U _ <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES s <br /> (7) MONTHLY SEWER CHARGES: � <br /> SEWER CONSTRUCTION TRUCK s �_, — <br /> LATERAL <br /> SEWER SERVICE �� x��� <br /> APPROX. LOCATIONOFSIDESEWERORTEEINTHEMAIN: IZ" rn�+�v -�- nc 1.1�T <br /> CHART � /��Z�-� <br /> INFOCOMPILEDBY: _ DATE <br /> DATE <br /> APPROVAL: <br />