Laserfiche WebLink
Q � � �DIN� �'ERMtt,"'�" ! �lFUR�ATION <br /> ADDRESS __7YpE Sciuuc,E ►-n�..i�Y �C�'`� <br /> (1) BUILDING PERMIT FEE �COS� (��� f • 3 �-�� O_ <br /> (P,) PLAN CHECK FEE ��'' 87 <br /> -10 • c�'�r <br /> (2) PLUMBING —T��,--� . <br /> (3) ME�HANICAL 4� <br /> !4) W'A i ER SERVICE TO 8E PAID PRIOR TO BU�I.DlNG PERMIT ISSUANCE �D.D� <br /> (Aj TO BE DETERMINED BY BLDG INSPECTOR ��_ �NCH <br /> (E�) E:(IST. _ WATFR SERVICE, APPLICATION NO. <br /> (C) APPROX. LOCATION <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- � <br /> SUANCE FEET DRIVEWAY(TYPE) S 2� '�� <br /> $ -- <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND � DISTRICT FOOTAGE <br /> N, 5, E, W <br /> NOTES <br /> ���k�.. S� �5 <br /> a,�� lI�!-8 5' <br /> �y p 119. o0 <br /> S�v �'l � , o� : <br /> _--- <br /> � (ost,. Ja <br /> SEWER CONNECTION CHAR�ES <br /> YEAR_ � � TRUNK $ �v3 O. Ob <br /> LATERAL <br /> TOTAL CONNECTION CHARGES b 3��-�� <br /> SEWER PERMIT FEE � 3D.Ob <br /> CATCH BASIN PERMIT FEE 3��6d <br /> TOTAL SEWER PERMIT FEES $ <br /> (7� MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTIQN TRUCK $ <br /> LATERAL <br /> SEWER SERVICE <br /> APPRGX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED 8Y: DATE <br /> APPROVAL: DATE <br /> S Ba <br />