Laserfiche WebLink
FOR CITY USE ONLY <br />ENGINEERING AND COMMUNITY SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS'g� <br />1) PUILDING PERMIT FEE <br />(A) PL7.11 CHECK FEE <br />2) PLUMBING <br />3) MECIIA14ICAL <br />4) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />TYPE G i7/G <br />$ �UU <br />$ <br />$ ? Uy <br />$ <br />(A) TO BE DETERMINED BY PLBG. INSP. J INCH <br />(Bl EXIST. WATER SERVICE, APPL. NO: <br />(C; APPROX. LOCATION .4 1-00t. <br />7i(tI-.IK.� ii: i).t':.11 CHART S <br />r LcT <br />5) DRIVETHAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED r/_' FT. Li -D/W (TYPE) <br />G) STATUS OF SEWER CHARGES: TOTAL <br />BOND ! DISTRICT FOOTAGE <br />14, S, E, W. <br />7) MONTHLY SEWER CHARGES: <br />SEINER CONSTRUCTION: <br />SEWER SERVICE <br />/ �?<-aC� <br />$ 3 u15= �-D <br />SEWER CONNECTION CHARGES <br />Yr•,AR TRUNK S 2 /U � <br />• U <br />LATERAZ 90 $--- <br />TOTAL CONNECTION CHARGE$ <br />SE^;ER PERMIT FEE S 50, G C) <br />CATCH BASIN PERMIT FEE $ <br />TOTAL SEINER PERMIT PEES$ <br />TRUNK <br />LATERAL $ <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: C . ey " <br />l CHART if'- ✓'J`��/-4 <br />INFO COMPILED BY: <br />DATE <br />APPROVAL: DATE <br />