Laserfiche WebLink
BUILDING PERMIT INFORMATION <br /> � 1�� � <br /> ADDRESS "�`I��'�I���C� � � �� � TYPE <br /> c-c� __ �� <br /> (1) EUILDING PERMIT FEE $ � � � <br /> —� <br /> (A) PLAN CHECK FEF. � <br /> (2) PLUMEiING �� r�— <br /> (3) MECHANICAL - ��-- <br /> (4) WATFR SERVICE 70 13F PAID PRIOR TO BUILDING PERMIT ISSUANCE ����� <br /> (A) TO BE DETERMINED BY f3LDG INSPLCTOR INCH � � ��' <br /> (B) EXIST _ WATLR SERVICF APPUCATION NO <br /> (C) APPROX LOG�TION <br /> CHART _ _ <br /> (5) DRIVE�NAI' PER�til TO BE PAID PRIOR TO BUILDING PERMIT IS- op <br /> SUANCE _ FEET DRIVEWAY(TYPE) S �vr_ <br /> b <br /> (7) STATUS OI SEWFR CHARGES <br /> BOND � DISTRICT _ FOOTAGE _ <br /> N, 5 E, W <br /> NOTES <br /> CY� <br /> �..1�`��� � � a�� <br /> vv <br /> g� � �, <br /> SEWER CON�JECTION CHARGES ���n � <br /> YEAR TRUNK S <br /> LATERAL �— ���s <br /> TOTAL CONNECTION CHARGES $ ����—_ <br /> � <br /> SEWER PERMIT FEE $ ���` <br /> CATCH B�SIN r:RMIT FEE - <br /> TOTAL SEWER PEP„�IIT FEES $ �j <br /> (71 MONTHLY SE�NER CHARGES: <br /> SEWER CONSTRUCTION TRUCK 4 --- <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OY TEE IN THE MAIN: <br /> CHART ._ <br /> INFOCOMPILEDBY: DATE - <br /> APPROVAL _ DATE ._-- <br /> ,t, <br />