Laserfiche WebLink
DE►AR�TMENT OF COMMUNITI' DEVELOIMENT SERVICES <br />, BUILDING F'ERMIT INFORMATION <br />ADDRESS ��� I )���r� <br />'> (1) BUILDINC PERMIT FEE �3(�j �' �" <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) W/1TER SERVICE TO BE PAID PRIOR TO BUILOING PERMIT I! <br />(/�) TO BE DETERMINED BY BLDG INSPECTOR �L� _— INCH <br />(B) EXIST. WATEF SERVICE, APPLICATION NO. _ <br />(C) APPROX. LOCATION <br />� CHnRT <br />'(5) DRIVEW/�Y PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY(TYPE) f <br />S <br />+�� (7) STATUS OF SEWER CHRRGES: <br />� BOND DISTRICT <br />�- NOTES <br />• � �� �� � <br />:�y diQO ll7l- 8�� <br />_ i/y � (237. �'� <br />.� � Q�� <br />FOOTAGE .�p�1aw� <br />N, S, E, W <br />z�G,S1 1 a • SEWER CONNECTION CHARGES <br />�' =�', rJ YEAR — TRUNK <br />� . . LATER/1L <br />' TOTAL CONNECT'�ON CHARGES <br />; �-.. <br />_S��' � - e•' : . .. . <br />-. � SEWER PERMIT FEE <br />��,�,.�� CATCH BASIN PF.RMIT FEE <br />; ' ----- TOTAL SEWER PE,RMIT FEES <br />�;' i�,•. <br />(7) MONTHLY SEWER CHARCES: <br />SEWER CONSTRUCTION <br />; <br />�.w �1 <br />� ,. �% <br />� a <br />�. -r <br />,i . <br />`. •- i <br />:� <br />S ' '� <br />S <br />: <br />s ��� <br />S ' U— <br />TRUCK s <br />LATERAL <br />;� . <br />- SEWER SERVICE �' <br />`_ A�PROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �� ��� ����� - <br />� •► . . .�..I <br />> � • CHART <br />,�. <br />CX.`, �.`_ :. <br />�'�-� 1` DATE _ <br />� INFOCOMPILEDBY: <br />DATE _ <br />APPROVAL: <br />b•B4 <br />----.�... .........-.� v.a_ ...: er.<-1Cra:�°.: i _ ..,.r: i ,..;';."�':^w 'T ".: ,: :T•-•�•- :n�; i�:'iJ:C' <br />