Laserfiche WebLink
� r, ,...,) <br /> ,,;i `.r. <br /> ' BUILDING PERMIT INFORMATION � <br /> � <br /> , -7 �! �/ T- � -� <br /> ADDRESS _,I�� / �Z f'/G'C'S� l `'F.rJE�'TYPE <br /> (1) BUILDING PERMIT FEE $ — <br /> ' (A) PLAN CHECK FEE ��/ <br /> (2) PLUMBINC� <br /> (3) MECHANICF.L — <br /> (4) WATER SERVICE TkYBE PAID PRIrJR TO BUILDING PERMIT ISSUANCE � <br /> (A) TO BE DETERMIN�B-8Y BLDG INSPECTOR INCH <br /> (B) EXIST. _ WATER SERVICE, APPLICATIOf� NG __�____ <br /> (C) APPROX. LOCATION -- <br /> CHART <br /> (5) DRIVEWAY PERMIT TO BE PnID PRIOR TO BUILUING PERMIT IS- <br /> SUANCE FEET DRIVEWAY(TYPEJ S <br /> 3 <br /> (7) STATUS OF WER CHARGES: <br /> BOND DISTRICT FOGTAGE __ <br /> N, S, E, W <br /> � NOTES <br /> cJ A�P rZ �J��r,�.'. <br /> ; SEwcf� y0-��� <br /> ! J S� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK b �330' ___ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S �3�� �_^ <br /> i <br /> ' a•, <br /> SEWER PERMIT FEE g .3 0 ' ' <br /> CATCH BASIN PERMIT FEE <br /> TOTAL SEWER PERMIT FEES 5 3v � <br /> (7) MONTHLY SEWER CHARGES: <br /> SEWER CONSTRUCTION TRUCK $ <br /> LRTERAL <br /> SEWER SERVICE <br /> APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br /> CHART <br /> INFO COMPILED BY: DATE <br /> APPROVAL: DATE _ <br /> s�aa <br /> . .. ... _ � <br />