Laserfiche WebLink
� � <br /> BUILDING PERMIT INFORMA�ION <br /> ADDRESS _..� ��� ����� � � TYPE <br /> (1) BUILDING pERM1T FEE 3 "��:�� �'�� <br /> (A) PLAN CHECK FEE <br /> (2) PLUMPING <br /> (3) MECHANICAL — _ <br /> (4) WATER SERVICE TO 13E PAID PRIOR TO BUILDING PFRMIT ISSUANCE � <br /> (A) TO BE DETFRMINED BY HLDG INSPECTOR _ '3 — INCH I �j <br /> (B) EXIST. WATER SERVICE, APPLICATION NO <br /> (C) APPROX. LOCATION <br /> _CHART _ _ I <br /> (5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- ��� <br /> SUANCE FEET DRIVFWAY(TYPE) S �� — <br /> 4' ( <br /> i <br /> '� (7) STATUS OF SEWF.R CHARGES: <br /> sp' E30ND DISTRICT FOOTAGE __ <br /> � N, 5. E, W <br /> °- NOTES <br />�'' ( I 1 I -�� �j r; ��'1J <br /> ���-l.�J�'�J <br />�-: <br /> �<<�� <br />� : � <br />,, <br /> SEWER CONNECTION CHARGES cx� <br /> YEAR TRUNK E _ ���� <br /> LATERAL <br /> TOTAL CONNECTION CHARGES � ���� <br /> i — <br />'� C�p <br /> �+' SEWER PERMIT FEE $ =� <br /> $; CATCH BASIN PERMIT FEE _ ' <br /> TOTAL SEWER F'ERMIT FEES b — . "-�� � ' <br />•,;` (7) MONTHLY SEWER CHARGES: <br /> �t SEWER CONSTRUCTION TRUCK S <br /> LATERAL <br /> SEWER SERVICE <br /> :_ <br /> APPROX LOCATION OF SIDE SEWLR OR TEE IN THE MAIN: <br /> �I _ <br /> r <br />,,;+ CHART <br /> ''i-; <br /> �� <br /> INFO COMPILED BY: DATE <br />,y . <br /> APPRO�'AL DATE — <br /> .. <br /> % , <br /> ver <br /> �'� �� <br />