Laserfiche WebLink
i <br /> i <br /> , . i <br /> BUILDIN� PERMI`T � NF�RMIATIOf� i <br /> � <br /> I <br /> ADDRE55 ����j� � �l�%�� ���- �� C TYPE / ' � <br /> (1) [3UfLDING P�RMIT fEE g "1 ��I � I <br /> (A) PLAN CHECK fEE —' � <br /> (Z) PLUMBING _���; �� <br /> (.�) MECHANICAL 7�-�,� <br /> (4) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER�IT ySSUANCE ������ I <br /> (A) TO BE DETERMINED BY BLDG INSPECTOR `' � INCH � g `� <br /> (B) EXIST. WATER SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> I <br /> CHART <br /> ��1 DRIVEWAI' PERMIT TO BE PAID PRIOft TO BUILDING PERMIT IS- � <br /> SUANCE FEET DRIVEWAY(TYPE) S _ �� -- <br /> S <br /> I%1 STATUS OF SEWER CHARGES: <br /> [30ND �__ DISTRICi FOOTAGE <br /> N, S, E, W <br /> NOTES <br /> ll ��" �'r� ( "1� o !iJ!-�I�,� ; <br /> �-1� 1 - ��U�tr � <br /> �,�._��. � ,,. i <br /> , -- <br /> i <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S .3 � <br /> � <br /> LATERAL -� <br /> , <br /> TOTAL CONNEC'TION CHARGES S "3� � <br /> ot� <br /> SEWER PERMIT FEE S ��^' <br /> CATCH f3ASIN PERMIT FEE �_ <br /> TOTAL SEWER PERMlT FEES S .��� <br /> — � <br /> l71 MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK � <br /> LATERAL <br /> SEWER SERVICE <br /> APPROX LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �_ <br /> CHART <br /> INFO COMPILED BY: D,qTE _ <br /> APPROVAL DATE I <br /> ,, i <br /> i <br />