Laserfiche WebLink
DEM�TMENT OF GOMMUNITY OEVfLO�MENT SE�VICES <br /> � BUILDII�G PERMIT INFORMATION <br /> � :� � � <br /> ADDRESS � � '1 � !-y� ���"- � �- TYPE .S� F �1� <br /> (1) SUILDING PERMIT FEE �/Sa�� � S � <br /> ,� <br /> (R) PLAN CHECK FEE <br /> (2) PLUMBING �� � <br /> (3) MECHANICAL ��� <br /> (4) W11TER SERVICE TO BE PAID PRIOR �"O BUILDING PERMJT ISSUANCE �00 <br /> (A) TO BE DETEF�IINED BY BLDG If�SPECTOR 3/�i� INCH �(�rJ3 <br /> (B) EXIST. WATER SEFVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION __ <br /> CHP.RT <br /> (5) DRIVEWAY PERMIT TO BE PAID PR!OR TO BUILDING PERMIT IS- ���/7 e� <br /> SUANCE FEET DRIVEWAY(TYPE) S �A <br /> 5 <br /> (7) STATUS OF SE CHARGES: <br /> BOND ___�DISTRI(:T —FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> SEWER CONNECTION CHARCES � <br /> YEAR TRUNK S .� �� <br /> LATERAL ----�— <br /> TOTAL CONNECTION CHARCES S _ '�:'�O <br /> �s�s� 3a a� <br /> SEWER PERMIT FEE b <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES � 30 _ <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK E <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART�L ��3"'''� � � <br /> INFO COMPILED BY: DATE <br /> APPROVAL: _ DATE <br /> 5 84 <br />