Laserfiche WebLink
BUILDING PERtia�T INFORMATION <br />ADDRE55 <br />— _ TYPE._ <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUM[31NG <br />(3) MECHANICAL <br />(4) WATER SERVICE T� !3E PAID PRIOR TO BUILDING PERMIT ISSUANCf: <br />(A) TO BE DETERMItJ[D BY UIDG INSPECTOR�j�_ �NCI; <br />(8) EXIST. ___ WqTER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION __ <br />3 ,� 9 `= <br />�a-� _ :� <br />� <br />.�_ <br />� <br />_ � 7 _ <br />-- CFIART <br />(5) DRIVEWAY PERMIT TO F3f: PAID PRIOR TO [3UILDING PERMIT IS- <br />SUANCE _FEt:T �_DRIVEWAY(TYPE) S _ �O % <br />b <br />p) STATUS OF SEW CHARCES: <br />BOND � JISTRICT ._FOOTAGE <br />N, S, E, W <br />NOTES <br />�.�cr�%r•. �?.�e-ai <br />Q,,�( �/7/ - �1— <br />!f/a`� / 7 � � <br />�.",`r y �i- � <br />l� SD ' <br />SE;VER CONNECTION CHARGES <br />YEAi2 TRUNh <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH �A.:�IN PERMI C FEE <br />IOTAL SE4�'ER PERAIIT FEES <br />(7) Mi)r:7HL1' SE�'ER C:HARGES: <br />SEWER _ONSTRUCTIUN <br />�'� <br />s _—�; a <br />b __���`_ <br />�% <br />S __ � (� <br />�iRUCK b <br />LA'(ERAL <br />SEWER SERVICE <br />APPRUX. LOCATIC�N (�F SIDE SEWER OR TEE IN THE ��1�1��: <br />�NFO COMPILED [31': <br />APPROVAL: _ _ <br />S E4 <br />L <br />� <br />CHART <br />_ DnTE <br />_ DATE <br />