Laserfiche WebLink
� � <br />BUILDI�JG PERMIT INFOr.t►�!IATION <br />ADDRESS 'Si 23 �CXl.cs'�O � t�� • TYPE ��-+ � � <br />(1) BUILDINC PERMIT FEE � 50��- � S I•. �D <br />(A) PLAN CHECK FEE �. �?'3 <br />(2) PLUMBING ��� � <br />(3) MECHANICAL CI .513 <br />(4) WATER SERVICE TO BE PAID PRIOR TO BUILDINC PERMIT ISSU�NCE ���� <br />(A) TO BE DETERMINED BY GLDG INSPECTOR � INCH <br />(B) EXIST. _ WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LGCATION <br />C�I:II:iI <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO Bl.'ILDING PERMIT l5- n <br />SUnNCE FEET lrh!`.�E`.^.�A`.';TYPE) S G�-Ba <br />S <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT FOOTACE <br />N, S, E, W <br />NOTES <br />'�`6�t�.OL l.J-nl.W1`/ f'�Ezz <br />�it?-O L�/-8S' <br />�2?� /%9� bn <br />SEWER CONNEGC�TION CHARGES <br />YEAR C�� TRUNK <br />LATER1IL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOT/1l SEWER PERMIT FEES <br />p) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUC110N <br />SEWER SERVICE <br />S� � <br />! � <br />s E�Q,p !/%i 8 'S .- <br />S � '�d <br />TRUCK s <br />LATERAL <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />CHART <br />DATE <br />DATE <br />