Laserfiche WebLink
DEPARTMENT O�MMUNITY DEVELOPMENT SERVICES • <br />BUILDING PERMIT INFORMATION <br />ADDRESS __ _T1'PE__. <br />(1) BUILDING PERMIT FEE 5 <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANI�AL <br />(4) WATER SERVICE TO BE PAID PRIO�t TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED F:Y BLDG INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, nPPLICATiON NO. <br />(C) APPROX. LOCATION _ <br />CHART <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO 6UILDING PFRMIT IS- <br />SUANCE FEET DRIV[WAY(Tl'PE) S <br />�� <br />(7) STATUS OF SEWER CHARGES: <br />BOND _ ?S DISTRICT � '� POOTAGE <br />N, 5, E, N� <br />NOTES <br />5[W[R CONN[CTION G-iAf:GES �/ �� <br />Y[AR � � _ TRUNK $ Z `/'D' <br />L�TERAL �c%S- � U <br />TOTAL CONNECTION CHARGES S ��5 ' �� <br />SGWf=R PERMIT FEE <br />G�TCH BASIN PERMIT FEE <br />iOTAL SEWER PERMIT FEES <br />(7) ,�tONI HI_l' SE�1'[R CIIAftGES: <br />SFINER CONSTRUCTION <br />g � � �U <br />$ 3J. C9 U <br />TRUCK $ <br />I.ATERAL <br />SEWER 5GR\%ICF <br />,�1PPROX. LOCATION OF SIDE SEW[R OR TEE IN iHE MAIN: <br />INFO COMPILED DY: <br />APPROV'AL: <br />CI L\IiT <br />/. l S <br />2 2h <br />3. 8 c� <br />