Laserfiche WebLink
• � � I • _ ! ' , _ � . .. '� • <br />• BUILDING PERMIT INFORMATION . <br />A�DRESS CQ ��� �.�� �J' � L'/1 v I L� C ��� <br />TYPE OF BUILDING i'� Fl,v�L /G� DATE C%1`/�- � 4' <br />1) BUII.DING PERMIT FEE ,, ,�_� 'i %�..:. ``' <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP.�-� INCH <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) LOCATION .'L �� /Z'iJi/{' I�•;,�/7['�� �//"/-.� ���' _ � <br />t`� /��-r_). �c.� !ri�le' CHART � ) —i� � % <br />3) DRIVE\VAI PERMiT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSI'TED FT. D/W (TYPE) <br />a�� �l. �1 � �i` t :,�� C r' r". <br />' TOTAL� <br />4) STATUS O� SEWER CHARGES: � <br />BOND� DISTRICT � ;� FOOTAGE �- <br />�j ZZ — ���iLl — V ` N' S r , , � .i <br />LANDSCAPE NOTES <br />��`� �`� ' ,,._' �` <br />���)(/ ;�L, %�iy'� ,-, ✓. <br />� ���e ) �i (��,'l; �-� <br />SEWER GONNECTION CHARGES: <br />TRUNK <br />LATERAL <br />TOTAL CO�IEC��i���GE <br />j�� <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE�` <br />$ ( CDU� OU <br />$ �=i O � � Q <br />$ � i ��� . �') �..� <br />$ �I �O O C� <br />� /��. a o <br />$ `� c�'S � J C� <br />$ Gr /� J � G' C� <br />$ JO• �� O <br />TOT_A.L SEWER PEFMIT FEES $ <br />5) MOI�THLY SEWER CHARGES: <br />SEWER CONSTRiJCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />$ %:�S <br />$ .z . ��� <br />�� ,,-� <br />� �Vf('l C�t�C%=• <br />LOCATION OF_SIDE SEWER OR TEE IN THE MAIN: CHART /�`- _� -'�'"- _� <br />n <br />..� v i ��C�. �U.�- . i �� �i.� <br />�)%//t1� i��� �C�J, _ ,���(� L" �/ � r'.'N f �f' /� '�/P' 'l ii <br />INFO COMPILED BY <br />REVIEW: <br />APPROVAL: <br />ENGINEERING DEPARTMENT <br />'�This totnl must be paid before building permit is issued. <br />DATE , "�% % ' <br />DATE q'�� -% <br />DATE <br />