Laserfiche WebLink
� `�d - � Y�.:✓ <br />� ?! #..: <br />� t BUILt�ING PERMIT ['�IFOitlerrlAT�01o1 <br />�� <br />� ADDRE55 TYPE ��u�« �![_.� IZeS <br />�. _.. (1) BUILDING PERMII' FEE ¢I GjQ� •�d 5 `��.eO�_ <br />= (A) PLAN CHECK FEE T�O.'� �%Y)3S'� <br />.' (2) PLUMBINC _ ����� <br />� (3) h+GCHANICAL �� �� <br />'� (4j WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE _ �L%<�C� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR INCH <br />(B) EXIST. WATER SFRVICE, APPI_ICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />(51 DRIVEWAY PERMiT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET _DRIVEWAY(TYPE) S �D'�d <br />S <br />i�(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />s��Ac. �a �i��r-y ��" <br />�72� /�7�— �' � <br />H2� /�9,00 <br />5�w�i ¢� o <br />� �lp J�D• �� <br />FOOTAGE _ <br />N, S, E, W <br />SEWER CONNQECTION CHARGES <br />YEAR �'L7L�TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />' SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(71 MONTHLY SEWER CHARGES: <br />SEWER CONSiRUCTIrJN TRUCK <br />LATERAL <br />SEWER SEf2VICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE hIAIN: <br />INFO COMPILED BY: <br />APPROVAL: __ <br />7/B1 <br />0 <br />_v � • <br />� <br />CHART <br />DATE <br />DATE <br />