Laserfiche WebLink
BUILDIPIG PERMIT INfORMATION <br />ADDRE55 I( %�1 � n���� 9 L�1� � TYPE <br />i s'�—'[�� <br />(1) BUILDING PERMIT FEE 5 <br />(A) PLAN CHECK FEE __ -� <br />(2) PLUh1RING <br />(3) MECHANICAL L�C <br />(4) WATER SERVICE TO UE PAID PRIOR TO BUILDING PER � IT I�SUANCE _�L'i;e'"`— <br />(A) TO BE DETERh11NED RY ULDG INSPK70R INCH I,�j' S�J <br />(B1 FXIST. WATER SERVICE. APPLICATION NO <br />(C) APPhO%. LOCATION _ <br />CHART <br />(5) DRIVFlVA1' P[R��11T TO BE PAID PRIOR TO 6UILDING PERMIT IS� .�C���-� <br />SUANCE FEET DRIVEWAY(TYPE) i <br />� <br />p) $TATUS OF SEWf.R CHARGES. <br />130ND �DISTRICT <br />NOTES <br />il?I���J <br />FOCTAGE <br />N, 5, E. W <br />SEWER CONNECTION CHARGES <br />YEAR — TRUNK f <br />LATERAL �� �" <br />TOTAL CONNECT�ON CHARGES b ��� <br />SEWER PERMIT FEE <br />CATCH 6ASIh PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />� ��o <br />E <br />/ — <br />b �� <br />(7� MOn'THLY S[WER CHARGES: <br />SEWER CONSTRUCTION TRUCK S <br />LATERAL <br />SEWER SERVICE <br />APPROX. IOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED BY: <br />APPROVAL: _ <br />CHART <br />DATE <br />DATE <br />