Laserfiche WebLink
, ENGINEERING UEPARTMENT <br />BUILDING PE�MIT INFORMATION i <br />ADDRESS _ S�/� So �.., � �Q il e- TYPE $ F/� <br />1) SUILDING PERMIT FEE -�,i -� r"+ $ ;�,1 ,��-`�' <br />(A) PIJLN CHECK FEE � $ �i --,-•; �? <br />2) WATER SERVICE 'PO BE PAID BEFORE HUSLDING <br />PEFS+71T IS ISSUED <br />(A) i0 BF. DETERMINED SY PLBG. INSP. 3 a INCH <br />---t— <br />(B) E3:iST. — WATER SERVICE� APPL. N0. — <br />S 20l�. Dn <br />�% ,>, o� <br />� �'�G, . ', � <br />�.; ,. �� , . t', <br />(C) nPPROX. LOCATION `•' C./. mo:n - 2`J � v`/• o�' � <br />e� .$ e�, n o( q v r CHART (A/- 7% <br />3) �:::':c,�i.�Y PERMIT TO BE PAID BEFpRE BUILDING <br />?::?.:�:i; IS ISSUED Z i FT. s o D/W (TYPE) <br />TOTAL* <br />� ) � ..": _ � UF SEk'ER CHARGES: <br />_".:] �- DISTRICT <'�6 FOOTAGE � <br />� N, S, E, W. <br />� NOTES SEWER CO:INECTION CHARGES: <br />� Y'iAR � 7 G TRUNK <br />� <br />� •� l.�S - Z��� . ��� �; <br />0 <br />__ of'.. _, <br />�,; _�::.:. <br />AVP= .•..• . <br />SEWER CONSTRUCTION: <br />S£4'6R SERVICE: <br />T L <br />TOTAL�OyNE TfJ � CF�iARGE <br />SER'ER PERMIT FEE <br />CATCH PASIN PERMIT FEE <br />TOTAL SEWER PERI�;IT FEES <br />F�lSi1il; <br />LATERAL <br />�'.TIO� GF SIDE SEWER OR TEE IN THE MAIN: <br />MN �-,a �.f s„_.,a A�,F -�i' de�p �t Pi <br />5_ i2� rJ <br />S �' � <br />S I 9S, o0 <br />S �• <br />5 ! go. oU <br />$ 3 O . D'D <br />S — <br />$ 30, o0 <br />$ / �s <br />S <br />$ 2 <br />5 , S. I $, .�t N <br />- :-� _ �- '--T�= <br />n-s-zn_•� <br />DATE s' - s- J� <br />DATE J f; � <br />�171TP /l/,G' �. <br />