Laserfiche WebLink
DEPAt:TMENT OF COMMUNITY DEVELOPMENT SERVICES <br />BUiLDE��G PE�IVIIT IIa1��itfvOA�'IC3N <br />� Cl� J�>t��.-�% i���"��TYP[ � �2.- <br />ADDRLSS �`'� � � -��- ��-�C� <br />(1) BUILDING PERMIT FEE ���'�U `�G �� � 7z4�,'� <br />(q) PLAN CHECK FEE 2 C-a �_ �' U_ <br />(2) PLUMBING 4'�"�� 2S'�5� <br />1 <br />(3) MECHANICAL _ <br />(q) WATER SERVICE TO I3E PAID PRIOR TO BUILDING PERMI� ISS�� INCH � <br />(q) TO BE DETERMINC:D BY BLDG INSPECTOR _._�--- <br />(p) EXIST. WATER SERVICE, APPLICATION NO. - <br />(C) APPROX. LOCATION <br />CHART <br />(51 DRIVEWAY PERMIT TO BE PAIU PRIOR TO DUILDING PERMIT IS- �o D� <br />FEET _.---�RIVEWAY (TYPE) S �� � as <br />SUANCE _----- � <br />(7) STATUS OF SEWER CHARGES: FOOTAGE _---- <br />DOND � �ISTRICT _---- N S, E, W <br />NOTES <br />SEWER CONN�¢N CHARGES <br />YE�.o <br />TRUNK <br />LATFRr L <br />TO?AI. �:ONNFCTION CHARGES <br />SEWER PERMIT FEE <br />CATCH �ASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />$ Z�O•�� <br />$ z �L� _c9CJ <br />$ 3C�-Oc."� <br />�p_OC� <br />$_ <br />TRUCK § <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEW[R OR TEE IN THE MAIN: <br />INFO COMPILED DY: <br />APPROVAL. - <br />y.i-�v <br />___ CHART <br />DATE <br />DAT[ <br />