Laserfiche WebLink
:�� <br />P <br />A <br />BUILDING PERMIT INFORMATION <br />ADDF:E55 SI.� I I�� � S� �v a - TYPE s�Q <br />(1) BUILDINC PERMIT FEE _ <br />(A) PLAN CHECK FEE <br />(2) PLUMBING �-p <br />(3) MECHANICAL <br />(4) N'ATER SERVICE TO l3E PAID PRIOR TO �UILDING PERMI�� ISSUANCE �� �� <br />(A) TO BE DETERMINfD EiY OLDG INSPECTOR o2- INCH I� --- <br />(B) EXIST. WATFR SERVICE, APPLICATION NO. <br />(C) APPROX.I.00ATION <br />. i i �i �'i 1 <br />CHART <br />(5) DRIVEWAY PFRMIT TO BE PAID PRIOR TO E3UILDING PERMIT IS• <br />SUANCE FEET DRIVEWAY(TYPE) S <br />� s c�%�i� °o <br />j (7) STATUS OF SEW[R CHARGES: <br />BONO �—DISTRICT FOOTAGE �r <br />' N, � E, W <br />: <br />� <br />NOTES <br />SEWER CONNECTION CHARCES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER P[RMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER �HARGES: <br />SEWER CONSTRUCTION <br />i <br />E? <br />� rI <br />S �� � <br />TRUCK s <br />LATERAL <br />SEWER SERVICE _ <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL -- <br />S�B4 <br />�7@75y:P:4 `���, . . � <br />. ... . - � - . �'. <br />CHART <br />DATE <br />pATE <br />