Laserfiche WebLink
� ' . <br /> DE►ARTMENT OF COMMUNITY DEVELO►MENT SkRVICES <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS � - � Q� - �_TYPE �Y • l�r _ <br /> ('1) BUILDING P'�RMIT FEE S �'s� �' <br /> (A) PLAN CHECK FEE <br /> f2) PLUMBING �� � <br /> (3) MECHANICAL _ ,L� � — <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERzM/IT ISSUANCE G�� � � <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR �y �NCH <br /> (B) EXIST. WATER 5 VICE, PLICATION NO. <br /> ;C) APPROX. LOCATION �o � ��� <br /> ___[� -�� J CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR i � RU LDING PERMIT IS- � <br /> SI:ANCE ,2 � FEET DRIVEWAY(TYPE) S �� <br /> 5 �2,�'� . o � <br /> p) STATUS OF 5[WER CHARGES: , <br /> BOND �DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> SEWER CONNECTION CHARGES � <br /> YEAR S�'s2 _TR�'NK 5 �7� — <br /> LATERAL ��,-- <br /> TOTAL CO�-INECTION CHARGES 3 oZ'LD <br /> � <br /> SEWER PERMIT FEE S 3Q <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SFWER PERMIT FEES 5 �a <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK � <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MR,IN: . --� <br /> + CHART � �� - �8' � <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE . <br /> 41 79 <br />