Laserfiche WebLink
FOR CITY USE ONLY <br />ENGINE RING AND COMMUNITY SERVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS � <br />r� _..Z_4mno '5r TYPE t5 <br />1) BUILDING PER:IIT FEE p' �Zo- $ -f49. 0o <br />(A) PLAN CHECK FEE $, S-O <br />2) PLUMBING, 00 <br />3) MECIIANICAL $ 9• 00 <br />4) WATER SERVICE TO BE PAID BEFOk% BUILDING U <br />PERIIIT IS ISSUED $ 2�- <br />(A) TO 13E DETERMINED BY PLBG. INSP. 3 Qr-� INCH <br />fill EXIST. TlATBR•SERVICE# APPL. NO. <br />(C) APPROX. LOCATION <br />CHART <br />5) DRIVEWAY PERMIT TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED FT. Amer-, 14L /W (TYPE) $� <br />6) STATUS OF SEWER CHARGES: TOTAL <br />c <br />BOND pISTRICT _ FOOTAGE <br />Nj S, E, 11. <br />NOTES <br />3- O6- 30/- 00 <br />7) MONTHLY SEINER CHARGES: <br />SEWER <br />CONNECTION CHARGES <br />YEAR <br />' -2•� TRUNK $ <br />E'm• �JU <br />^ tljK' LATERAL' $ <br />-s %'0, !90 <br />TOTAL <br />CONNECTION CIIARGR$ <br />W ER <br />PER)IIT FBI, S <br />jam• OG <br />CA1'CII <br />BASIN PEWIIT FEE $ <br />_ <br />TOTAL <br />SEWER PERMIT I'L•ES$_ <br />I9/4 <br />,) j <br />57Aae <br />SEINER CONSTRUCTION: TRUNK $ 0.2U <br />LATERAL $ �Z• /U _ <br />SEWER SERVICE $ 2 • S� <br />APPROX. LOCATION 01` SIDE SEINER OR TEE IN THE MAIN: (�►-ijvr r : Qt� <br />74ru Ste.Klo��7 4cr Try s•' w _— _ <br />- — -- CHART J-1 Z-7$- 4 -- - <br />INFO C0:1^ILED BY: <br />APPROVAL: <br />DATE <br />DATE <br />