Laserfiche WebLink
, ;s <br /> , ,.,. . <br /> gU6LiC� ING PERMIT IN �O►RMATION <br /> �3�� 2� i�-1 �T. TYPE O�GGLZ– ��«.`� <br /> ADDRE55 e� <br /> g 13��?,5� <br /> (1) BUILDING PERMIT fEE� ������' � Pv •� ��'�'�� <br /> (A) PLAN CHECK FEE -- .—,;� -��,:- <br /> `a <br /> (2) PLUMBING ' ". <br /> (3) MECHANICAL �� <br /> xr� lZ.� _ cs� <br /> I ��y (4) WATF.R SERVIC[ TO HE PAID PRIOR TO BUILDING PER�IT �55UANCE <br /> a H (A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br /> 9�� -p�v r..q.,,.� �r- <br />� H t'�y� (B) EXIST. WATER SERVICE, APPLICATION NO. _—_— .���, �� <br /> y �H (�) APPROX. LOCATION --- <br />' � H� <br /> o xo <br /> y y r --- <br /> CHART <br /> Ox 'JG PERMIT IS- <br /> yd (5) DRIVFWAY PERMIT TO E3E PAID PRIOR TO E3UILD1� — <br /> � �g SUANCE __-----FEET DRIVEWAY (T'fPE) � _ <br /> c�� c� $ <br /> zy� <br /> � yy (7) STATUS OF SEWER CHARGES. �Qr�� �� <br /> 80ND DISTRICT _ FOOTAGE � <br /> g Gv~i N, 5, E, W <br /> � �� <br /> zHy NOTES <br /> yom �Z( �L �—�,Lt—CY � <br /> �2o G/�/8 s� <br /> �/z u �zz.s..��� <br /> �� "'i g�`'�� ��-�� <br /> �— � C��-�o � <br /> ��""� SEWER CONNECTION CH�RGES <br /> � YEAR TRUNK $ <br /> LATERAL <br /> "�"� TOTAI. CONNECTION CHARGE.S $ <br /> '��� SEWER PERMIT FEE $ ��C�� <br /> CATCH BASIN PERMIT FEE � � <br /> �4 1 TOTAL SEWER PERMIT FEFS $ .— <br /> �,,,,' � (7) MONTHLY 5[WEFc CHARGES: $ <br /> SEWER CONSTRUCTION TRI�CK <br /> LATERAL <br /> �� SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> ,_ CHART <br /> DATE <br /> INFO COMPILED BY: <br /> DATE <br /> APPROVAL: <br /> ; <br /> s aa <br />