Laserfiche WebLink
, <br />r. ' <br />ADDRESS Y ;'P; `_' <br />-- _� : :�.�.. : <br />ENGINEERING DEPARTMENT <br />BUZLDING PERMIT INFORMATION <br />� / <br />7 ?.�'. �;' .`.'e . � • --TYPE ,� f::. :"� <br />1) BUILDZNG PERMIT FEE •--, p U $-- /� Z `� L, <br />(A) PLAN CHECK FEE � ¢ � �� $ �' v � — <br />2) WATER SFRVICE TO BE PAID B�FORE BUILDING $ _ <br />P�RMZT IS ISSUED /� � <br />/Gf�. l / �G' <br />�`s�� iNct� <br />(A) TO BE DETEI2MINED BY PLBG. INSP. _ y�. _, , r•��,-; <br />(II) EXIST. "` WATER SERVICE� APPL. N0. <br />..a. <br />; 4: „ . .' � � �'- ,�' % ».`a ,��.i , <br />(C) APPROX. LOCATION a <br />. CHART ' `�i ! -<, . <br />3) DRIVEWAY PERMIT TO BE PAID BEFORF BUZLDING l �� J <br />PERMiT IS ISSUED _ FT. D/W (TYPE) $._ �"� '-- <br />TOTAI,* $ ` <br />4) STATUS OP SEWER CHARGES: <br />__, r�,.. � _ .. <br />BOND �i'`.L. DISTRICT _ 4 I'OOTAGE_ -` _ <br />- — �— N, S, E, W. <br />�O <br />�5) MONTH�Y Sli[JER CHARGES: <br />SliW�R CONSTRUC'PION: <br />S�WSR SERVICE: <br />SEWF.R CONNECTION CHARGES: <br />YEAR �;:�� TRUNK <br />� TE �`7 <br />TOTAL CONNE(;�ON C AR(3E � <br />gEW�R PERMIT FEE <br />CATCfI BASIh PERMIT F�E <br />TOTAL SE�9ER PERMIT FliES <br />TRUNK <br />LATEF.AL <br />_. , � <br />APPR�(9X. LOCATION OF SIDE S�WER OR�/'TER IN THE M-�.ZN: <br />. c'- � y; _ ii 1-' !'� /. � � i fl`� �J_ � lf� t r..'i' .M1 (' ^ ¢' <br />!J. E <br />_" ; ��, > 6 � 8 I �' i� ii �f'i Aax:. Cf{ <br />� � ,s� i <br />IPIFO COMPILED BY: �=� :—'''4'.-'�r' • � r -z--2--.. - <br />REV:IL'A': <br />PROJBCTS DIVISION <br />APPI�OVAL: <br />EN(;INFERING DEPAF.Th1ENT <br />$ � r? — <br />g 212..,� � <br />S �1 i S. u �, <br />$ '�0, vD <br />$ �,�._ <br />$ �r, CO <br />$ 'L.LS"_ <br />$ �,75_ <br />$ 2 . So _ <br />., :�' ,.{' 7TN <br />! f$��- ` <br />DATE � . ; I ; <br />DATE <br />DATE __ <br />* 9'his total must be paid before buildinq permit is issued. <br />