Laserfiche WebLink
. �---� � .w . . <br /> �*7GIN�BRING DEPARTMENT <br /> BUTLDING PERMIT INFORMATION <br /> ��i <br /> � ADDRESS I I C� �k �Z f=� S T TYPE S � � <br /> I 1) BUILDING PERMIT FEE $ <br /> I {A) PLAN CHECK FEE $ <br /> 2) WAiER SERVZCE TO BE PAID BEFORE BUILDING <br /> PERMIT IS ISSUED $ �'r�J , ``-� <br /> (A) TO BE DETERMINED BY PLBG. INSP. �_ IT�CH <br /> (B) EXIST. �' _ WATER SERVICr, PypPL. N0. —�-' _ <br /> (C) APPROX. LOCATION " <br /> . CHART S - I l C:� <br /> 3) DRIVEWAY PERMIT TO BE PAID BEFORS BUILDING � �`,� <br /> P�RMIT IS ISSUE.7 / 7 FT. � c n D�W �`�'YPE) $ <br /> TOTAL* $ <br /> 4) STATUS OF SEWER CHARGES: <br /> $QND ZG- DISTRICT '� 1 FOOTAGE_ /�� � N � <br /> N, S, E, W. <br /> �— NOTES SEWER CODTNECTION CHAAGES: <br /> YEAR ' / �- TRUNK $ � 1�=� v d _ <br /> I �� _� � � Q `1-Z– C�O LATERr�L $ ? ! L, s� <br /> i TOTAL CONNECTION CHARGE $ .S"�� • S�'-_ <br /> IS�WER PERI�4IT FEE �_ ��— <br /> I CATCH BA5IPI PERMIT FEE $_ <br /> iI TOTAL SEWE.R P�RMIT FEL:S $_-_`_=-__ <br /> 5) MONTFILY SEL9ER CIiARG�S: <br /> SEWER CONSTRUC'IION: <br /> TkUNK S � � �-- <br /> LA?aRA;. $_ 'I . 2 S' _ <br /> SEWER SERVICE: $- 6� � <br /> APPRO;. LO�ATI „ � � ' ` `�c M � Q t_ � <br /> ON OF SIDE SEWER OR TEE IN TP.c MAIN: � .N� n -.1!_ <br /> ; ,.fF� rea�-; ee, e � 92N0 � Crt-ser-.�f— q � 17 . -- <br /> ' CHAF`P �3 - ? f - Z 1-5 -- <br /> INFO COt+1PILED BY: , ���� ' DATE �- 2G - )� <br /> DATE <br /> REVIEW: — <br /> PROJECTS DIVISION <br /> pATE <br /> APPROVAL: �— <br /> ENGINEERIPIG DEPARTMENT <br /> * This �otal. must Ue paid before building permit is issued. <br />� <br /> J+:t,:�_ _ _.__ <br />