Laserfiche WebLink
� � <br />DE�ARTMENT OF COMMUNiTY DEVELO�MENT SERVICES <br />BIJILDING PERMIT INFORMATION <br />ADDRESS �>I �- I L�Cn M ���� V � TYPE `�uc{� �Yl. ��S � <br />(�) BUILDING �ERMIT FEE S �7`i. Ofl <br />(A) PLAN CHECK FEE +-3�-��-- <br />(1) PWMBING -�v �' <br />(3) MECHANICAL / 9 '�� <br />(4) WATER SERVICE TO BE PAID PRIOR T(1 BUILDING PERMI ISSUANCE Lf'��.C� <br />(A) TO BE DE IERMINED BY BLDG IfvSPFCTOR � INCH <br />(D) EXIST. __ WATER SERVIC[, APPLICATIUN NO. <br />(C) APPROX LOCATION ��� %�c�7- L/r.c � �o � <br />Cfi�RT <br />(5) DRIVEWA� PCRMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- �, <br />SUANCE FEET DRIVEWAY(TYPE) S <���� <br />S _ <br />(7) 57ATU5 OF SEWER CHARGES: <br />HOND 11�� DISIRICT <br />��,�'.,G'Ei2 <br />C��P-/� <br />�iNcic.E <br />NL v <br />NOTES <br />P�L �Z� <br />// 7/—� J -_ <br />�'�l. �� <br />� -� y, o0 <br />5�� � q=� � <br />� <� � ti ov <br />(OOTAGE <br />N, S, E, W <br />SEWER CONNF.CTION CHARGFS <br />YEAR __. � 5 TRUNK <br />LATERAL <br />TOT;,L CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN FEHMIT FE[ <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES. <br />SEWER CONSTRUCTION <br />TRUCK <br />LATERAL <br />� � � ��- �� �� — <br />s �?�.Ocl <br />s �i0. cnp — <br />s ��- �` C� <br />S <br />SCWER SERVICE / <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: �� Y�� � ��� "-• v�'�-� <br />INFOCOMPILEU [3Y: <br />APPROVAL: <br />b-P4 <br />CHART <br />DATF <br />DATE <br />