Laserfiche WebLink
� �� <br />` dEPARTMENT Oi C�DMMUNITY DEVELOPMENT SERVlCES <br />�UILC��f�G PE�t�IY iMFO�tI�I�lTl�l�i <br />/ � <br />ADDRE55 ,%�O�Z %Z�` �,��'�`�`"a" � `� TYPE _ <br />(1) BUILDING P.RMIT 1=1=E �d B��' � <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO DE PAID PRIOR TO BUILDING PERMIT I�SUA�CE <br />(A) TO SE DETERMINED 8Y BLDG INSPECTOR _ �i�� IiJCH <br />(B) L-XIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX.I.00ATION <br />2�,e <br />g 2_�,3• � � <br />t»`�� <br />2�.c9a <br />! S. DU <br />�O� � G`�7J <br />CHART <br />(5) DRIVEWAY PEftMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �� D� <br />SUANCE FEET DRIVEW/�Y(TYPEJ 5 <br />� - <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />fOOTAGE _ <br />N, S, E, W <br />SEVJER CONNECTION CHARGES <br />YEAR g `S TRUNK <br />LA7ERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH f3ASIN PF.RMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEVVER CHARGES: <br />SEWER CONSTRUCI ION <br />TRUCK $ <br />LATERAL <br />SEWF.R SEftVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />9�1�79 <br />CHARI" <br />DATE <br />DP,TE <br />L <br />O <br />� <br />C'� <br />m <br />�. .-. <br />_, �, <br />.. -� <br />�� <br />m <br />co <br />m c� <br />�> <br />--� �_ <br />o :, <br />,r <br />�Z <br />x -a <br />m <br />c:� <br />�: <br />z• - <br />r- _ <br />�H 1-y <br />"� � <br />� <br />� <br />�� <br />-� �l <br />rn �- <br />v- <br />0 <br />or <br />c'> rn <br />c v� <br />3 (/� <br />m <br />z c� <br />�r <br />. m <br />r- <br />� <br />� <br />> <br />V" <br />C <br />�' <br />� <br />