Laserfiche WebLink
• { � <br /> \ • � • � <br /> ` � In — • � � . . <br /> /I� � , <br /> !�L � �''�;r _ '� " . <br /> BUILDING PERMIT INFORMATION <br /> � - <br /> ,,, �,� � `� „ � �' <br /> ADDRESS ��� �' ':•, �^ � � - <br />� '?'YPE OF BUILDING � , i�- /_" DATE�/ � ��" �'�J'_ <br /> J U C� <br /> 1) SUILDING PE RMIT FEE 2 � `�Z � � � ` ��4 �� <br /> (A) PLAN CHEGY. FEE <br /> 2} WATER SERVICE TO BE PAID F�Eb URE BUILDING � <br /> � �75, �i <br /> PERMIT IS ISSUED <br /> (A) TO BE DETERMID.TED BY PLBG. INSP. � INCH <br /> ;� <br /> (B) EXIST. WATER SERVICE, APPL. NO. <br /> (C) LOCA'TION ���A//// �''/ � �� '���� �� ��' , ` r;�; <br /> , , <br /> � � s . � � ` CFiART .3�' i�'.1 <br /> r_ ' ; r.:�.r: ,_i -'/G. , .� `.,���: t?i�C,;�i ',a;:;' , <br /> 3) DRIVEI�VAY PERMIT TO �E PAID BEFORE BUILDING � <br /> PERMIT IS ISSUED FT. D/W (TYPE) � ��/ rt,'-- <br /> . . ,-�, • �/F . . .. . , T�TALm $ `t'�� • �—'�: <br /> i� <br /> • 4) STATUS OF SEWER CI-L9RGES: /�'j,': ��/y ��' ''- � <br /> BOND DISTRIGT FOOTAGE <br /> ' N, S, E, W. <br /> LANDSCAPE NOTES SEN'ER CONNECT70N CHARGES: <br /> TRUNK $ - ---- <br /> LATERAL $ <br /> TOTAL CONNECTION CHARGE $ <br /> SEWER PERMIT FEE $ � �� �- �- ' <br /> CATCH BASIN PERAi1IT P'EE $ �-- r <br /> TOTAL SEWER PERMIT FEES $ . � !'% ; '� - <br /> 5) MONTHLY SEWER CHARGES: • <br /> SEWER CONSTRUCTION: TRUNK $ <br /> LATERAL $ i <br /> SEWER SERVIGE: � "�`•��' I <br /> I `. . ,,_c " <br /> LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART <br /> � , �„ ���'� '' � '�� <br /> :j.j.�i' i�'/ � � G /Lr �� � '/l�' � �/i �"� /�� Df %��/ //� '/���' <br /> , ,� . <br /> /�/-'< �:�- ' �r��'"� � <br /> INFO COMPILED BY: :' ; " ' � � DATE /(i -%- / t <br /> DATE <br /> REVIEW: <br /> � TRAFFIC DJIVISION <br /> �� �) /,-��i � ��7.�� '_��� <br /> APPROVAL: - - A��'%��-�% DATE . � <br /> ---�ENGINEFRiNG DEPARTMENT <br /> �Tliis total must be paid before building permit i3 issued. <br /> I <br /> �5�?!l�����__. <br />