Laserfiche WebLink
.� <br /> DEPA�TMcNI OF COMMUNITY DEVELOPMENT SE..�ICES <br /> � UILDIf��G PERMIT INF4RMA7"ION <br /> AGDRESS �`�14- �Z-� �1� �DIZ- �� L TYPE 5 �� <br /> (1) BUILDING PERMIT FEE ��/-S, �EiO - uv g 2CvF�• 5Z� <br /> (A) PLAN CHECK FEE ��� � SZ��� <br /> (2) PLU;vIBINC 24-• UU <br /> (3) MECHANICAL 2�- �� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE LOfrl- c`Jt� <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR 3 a- INCH <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION ��/h-=» �l� T/i. �C1ps�.eF� <br /> � , / <br /> L M £!-' l,C G�.P_, CHART � - Z 2� -�J <br /> (5) DRIVEWAY PERMIT i0 BE PAID PRIOR TO l3UILDING PERMIT IS- <br /> SUANCE 2 � FEET �--�J�(-}�� DRIVEWAY (TYPE) S ��• � <br /> g ��7�.�C� <br /> — J <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � _DISTRICT Z � FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> `a1��n�. •��ia �,fi�r��.s ' <br /> ���� z <br /> ��o �?zz-�. � � <br /> _3 ���: G�� <br /> � <br /> I <br /> SEWER CONNECTION CHARGES <br /> YEAR �fI _ TRUhK S �Z 7� " ��' <br /> LATERAL � I <br /> TC�TAL CONNECTION ChIARGES $ L 7� ' G•�' <br /> SEWER PERMIT FEE $ 3� " ��', <br /> CATCH BASIN PFRMIT FEE " <br /> TOTAL SEWER PERM.IT FEES $ �� '� U <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK S l"� S � <br /> LATERAL " <br /> SEWER SERVICE L`� � � � <br /> APPROX. LOCATION Of SIDE SEWER OR TEE IN THE MAIN: �T r3�Ci� 7a � r�',`.n:�.��.. <br /> '� �7 � o v � G GG,ei..i�� x ly,n9,c��i� ��FT /��-�_�. , <br /> CHART G�—�'� -Z�� -�! <br /> INFO C7MPILED BY: _ DATE <br /> APPROVAL: DATE <br /> 9�iJ9 <br />�i__ _ _ . . . _ . _ _ _ _- ' _ .1� . . <br />