Laserfiche WebLink
i <br />ENGINEERING DEPARTMENT <br />I BUILDING PERMIT `INS/FORMATION <br />ADDRESS �3 Your= V r . TYPE <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED <br />S <br />F <br />(A) TO BE DETERMINED BY PLBG. INSP. INCH <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION <br />CHART <br />3) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED FT. D/W (TYPE) $_ <br />TOTAL* $ <br />4) STATUS OF SEWER CHARGES: <br />BOND�DISTRICT Z 6 FOOTAGE --- <br />N, S, E, W. <br />SEWER CONNECTION CHARGES: <br />YEAR _� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />SEWER CONSTRUCTION: <br />TRUNK <br />LATERAL <br />SEWER SERVICE: <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />REVIEW: <br />PROJECTS DIVISION <br />APPROVAL: _ <br />ENGINEERING DEPARTMENT <br />DATE <br />DATE <br />DATE <br />2/a- ego <br />$ 1 gS. oo <br />c� o <br />$� S v_ <br />$ s0 7asp <br />* This total must be paid before building permit is issued. <br />