Laserfiche WebLink
�' <br />�� � <br />BUILDING PERMIT INFORMATION <br />ADDRE55 TYPE _ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(Z) PLUMBINC <br />(3) MECHANICAL <br />(4) �"lATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO 8E DETERMINED BY fiLDG INSPECTOR ��� INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. _ <br />(C) APPROX. LOCATION <br />s y3 � �� <br />�� � <br />. 5 � °° <br />__��__ <br />CHART <br />(5) DRIVEWAY FERMIT TO 8[ PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) S ��� <br />S <br />(7) STATUS OF SE\'VER CHARGES: <br />BOND .��-DISTRICT <br />NOTES <br />L�rf`C �/7/-,FS; <br />a�/q7P i �% j rG <br />S IlW `i % � � <br />Ca50" <br />FOOTAGE <br />N, S, [, W <br />5EWER CONNECTION CFIARGES <br />YEAR TRUNK <br />LATeRAL <br />TOl'AL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />� TOTAL SEWER PERMIT FE[S <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S <br />S <br />s �C� <br />F? <br />TRUCK b <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED B'Y: <br />APPROVAL: <br />�,ar <br />CHART <br />DATE <br />DATE <br />