Laserfiche WebLink
! EIdGINEERING DEPARTMENT <br />!O'2� BUILDING PERMIT INFORMATION <br />�� s-.._ �. r.v , .,. . ,... < <br />AllDRESS - -- s% `�-°:��`%' ' � . ,`" .,;.a' , ; <br />TYPE S.j"�: �:.;... <br />1) BUILLIING PERMIT FEE � � <br />$ ' ��,, .,..�_. <br />(A) PLAN CHECK FEE $ J't ,,,,!_.__ <br />2) i�TATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />(A) TO BE DETERMINED BY PLBG. INSP..�'�"�- INCH <br />�---- — <br />(B) EXIST. WATER SERVICE, APPI,. NO. <br />F <br />(C) APPROX. LOCATION � �� �:'� i U� /��: � <br /><�"TT`+t' ��' � .�C/. CHART ���'"7�/>/ <br />3) DRIVEWAY PERMIT TO BE PAID BE:'ORE�BUILDING <br />PERMIT IS ISSUED t!� FT. G,+��: . . D/W (TYPE) <br />4) STATUS 0 EWER CHARGES:.f. <br />BOND� DISTRICT I�;' <br />�-I �i 'L ��' O�? <br />l�Im� : ��oP�P:T�( onl�i�au <br />��j20�J1 ��-O W IT7� SF_W+,"c iL— <br />5'rt.� 8 K� N o� M, N, v�ex �' <br />t`� E c.ca v �.� ( St�-�b �c; ed � y <br />53 i S �en,l„�,�. � �-, �/ <br />r <br />APP�O � L <br />.S <br />INFO COMP <br />REVIEW:� <br />APPROVAL: <br />SEWER CONSTRUCTIOiv: <br />SEWER SERVICE: <br />OF SIDE <br />D BY: ` <br />��(2b <br />TOTAL* <br />FOOTAGE '----- <br />N, S, E� W. <br />SEWER CONNECTION CHARGES: <br />YEAR � TRUNK O.tl� `C <br />POTAL CONNECTION CHAR�E <br />3EWER PERMIT FEE <br />:ATCH BASIN PERMIT FEE <br />POTAL SEWER PER[�;TT FEES <br />TRUNK �j,ULY <br />LATERAL <br />OR TEE IN THE MAIN <br />� -•�-._ <br />'/� sa-�-r.,_. Go-...A^ <br />z <br />`� '"�"� �, �"'� <br />$ 4,... •r'..; <br />, % � �-�.., <br />S �f: �7 CP . <br />$ <br />DITE G �- G• :.i ^' <br />DATE <br />DATE 2 .Gj �� <br />* This total mnst be paid before building permit is issued. <br />