Laserfiche WebLink
' i�UIL,DING PERi�IIT INI'ORI�tATIO��' <br />c-> <br />ADDRESS ��� �� �� - / � ��i i- � �'t � — — <br />. ,` . <br />TYpE OF I3UILDING � � � / � ,�� � <br />:l) BUILDING PERA4IT FEE 7 ��='�.7 <br />(A) PLAN CHECI{ FEE <br />Uf1 •1� L', ; i �i ., _..i - ( ,! <br />a � Z. 4-,� C7 <br />,c, S Ct� G . v�� <br />2) «ATER SERVICE TO BE PAID BEFORE BUILDING l-Cr�c� " '� <br />PERIvIIT IS ISSUED ` 5 .�� . � <br />(A) TO BE DETERMINED BY PLBG. INSP, �/--� INCII � <br />�! <br />(B) EXIST. WATER S�RVICE, APPL. NO. <br />(C) LOCATION SZU��i"%<--7 J`C� � �', <), � �� <br />i>�i�� f <br />�`�D.PiU�'f CI-iART �S—;� `r / <br />3) DRIV��VA1' PERNIIT TO BE PAID BI�'I'ORE EuILDING <br />PL''P..'��IIT Ij ijS_J1:D '.� �- FT. ��r � • DI�1' (TYP�,` <br />-}) SI'_1TUS Or SLtt']:P. CILAP.GLS: <br />I30ND '1��_!- DIS'PRICT _� _. <br />LANDSCAPE NOTES <br />`� >>; - �I7z' ���� <br />1'OTAL°� <br />FOOTAGE <br />N, S. �. 15'. <br />� 7 c� c� <br />� <br />� ��, �� <br />SE�YER CONNECTIOIV CHARGES. <br />TRUN ' s,�(;� �� , U ( � i <br />LAT�R/�L ��1�/TJ�c��_ <br />TOTAL CONNECTION CHARG� $�4� ��� U/ <br />SE`rVER PERMIT FEE � �U � � C� <br />CATCH EiASIN PER�QIT FEE � .—�-- <br />TnTAL 5�14�ER P�P.ivfIT r EES <br />til \;O\1'IILY 5�14ER CHAkGES: <br />SE�Y'ER CONSTRUCTIOI�T: <br />SJ�)'.c) c.� i <br />TRLTNI{ �J � <br />S �.: <br />LATERAL s� <br />ST1'� I:R S�Rl ICE: S a�� � <br />LOC',� I ION OI� SIDE SE�NI;R OR TEE IN THE A�LAII i; CHART �-/�` ' ��—' <br />— c�. :� — l <br />L et � < <.'� i G �, �� ),: �"� � - , <br />_ n _ �r<�%%C'� C� �� /��d� �% �"/�lS% � dI' ..} u/ i�2.�.0 /.�elJM,•n <br />INr'O COiv <br />I2��'IE1V: <br />�PPFO\'� <br />�� Thi= total must he naid before huildin�; perrniC is is�ced. <br />DAT� ,�:, . 1�+.�1— <br />DA T E �6 -Z,3 ]y <br />DA T E �d �T�'" <br />