Laserfiche WebLink
DFP....fMEN7 OF COMMUNITY DEVELUPMEN, iERVICES <br />BUILDING PERMIT I(�FOitMAT10N <br />� <br />ADDRESS �I'1 � /cr. ST�.� ��. ��. t=. iYPE '� F /� <br />(1) BUILDING PER�NIT FEE C•'v'i �1 `�U• {�`' i�_3� • cUo <br />(A) PLAN CH[CK FEE -- <br />(2) PLUMBING 2-ta- c�D _ <br />(3) MECHANICAL 22. �Z <br />(4) WATER SERVICE TO BF PAID PRIOR TO RUILDING PERMIT ISSUANCE _ �`'�'' "� <br />(A) TO BE DETERMINED BY BLDG INSPECTOR.�_ INCH <br />(B) EXIST. WATFR SE,.VICE, APPLlCATION NO _ <br />(C) Ai PROX. LUCATION ✓Ti�g»x» Tc� l'�. �����.� �_ �__ <br />i.�.��r-_I-I.t-. c_o«-l.e- CHART_ `�- �'"'f', --- <br />(5) DRIVfiWAY PERMIT TO 3E PAID PRIOR i0 RUILDING PERMIT i.i- <br />SUANCE 2 Z _FEET .�n<�� DRNEWAY(TYPF) 3_�l �" <br />R _ _4-��� `�� <br />(71 STATUS OF SEWFR CHARG[S: <br />f10ND � - - DISTRICT ---,� f '__ Fr)c)Tn(;I -- ---- ---- <br />--- N, 5, L, w' <br />NOTES <br />��zc•c�,� 7J�z��Z-(�t��v�c-z•T f-rz s <br />7i-� _ � c, <br />•7 <br />_�•j y �-c <br />SCWf.R CONNfC IION CHARGf S <br />YEAR �'� TRUNk <br />LATERAL <br />TOiAL CONNECTION CHARGES <br />SEWER PERh11T FEE <br />CATCH BASIN PERMIT FEE <br />TOTP,L SEWER PFRMIT FEES <br />(7) MONTHLY SEWFFt CIIARGES <br />SEWER CONSTRUCTION <br />g — �.�6�'. �c U — <br />.. � <br />b 3 3p - c�u <br />s 3E�-oo <br />3 �_ �Ii. 0 U <br />� Q5' <br />TRUCK � Ir3�j�_ 2 . •2� <br />LATERAI_ <br />S[WER SERVIC[ � '� � <br />APPROX. LOCATION OF SIDE SEWER OR T[E IN THE MAI�J: C�Tu.�i�G�1 Tc:J Pf�• .AAVBlJ.� <br />/![P f-- r � c�� M• N. s� s�v�.o,� a F• -'�c�� o�' ��'r ``= <br />C HA RT ��• 8'� <br />INFO COMPILFD B�' _-- <br />APPROVAL: --- --- <br />uI ]n <br />_ __. DATF <br />DATE <br />,; <br />� <br />