10809 10TH DR SE 2016-01-01 MF Import

i � � � BUILI�3 ��lG F'ERMIT lf� F�RMA�'lOIV ADDRESS ��`� �� TYPE L'/ ' � (1) BUlLDING PERMIT FEF: 5 ��_ � (A) PLAN CHECK FEE __ (2) PLUMBING � ccZ= � 6 (3) MECHANICAL ��n (4) WATER SFRVICE TU BE PAID PRIOR TO BUILDING PERMIT lSSUANCE __�v� � (A) TO f3E DETFRMINED BY BLDG INSPF=TOR 3��I �� INCH � � � (Bj [XIST __ WATER SERVICE, APPLICATION NO. (C) APPROX. LOCATION CHART t5) DRIVE4"�/AY PERMIT TO BE PAID PRIOo TO BUILDING FFRMIT IS- � SUANCE F[ET DRIVEWAY(T�'PE) S a�— co $ <� l'n -- i7) STATUS OF SEWER CHARGES: l�OvD .�_ CISTRICT FOOTAGE Ri. S, E, W NOTES I I�; I -S�J �� '-�� C`� ��CJ SEWER CONNECTION CHARGES cc� YEAR TRUNK S _ j�'�� LATERAL _ - TOTAL CONNECTION CHARGES S _ .��c� � � SFWER PERMIT FEE S c� � CATCH BASIN PERMIT fEE �. fOTAL SEWER PERMIT FEES S ��J (71 1�tONTHLY SEWER CHARGES: SEWER CONSTRUCTION TRUCK S 'i LATERAL SEWER 5[RVICE APPROX LOCATION OF SIDE SEWER �R TEE IN THE MAIN: _ CHART _ INFOCOMPILEDBY: _ DATE APPROVAL _ _ DATE _ ��;