Laserfiche WebLink
DEPARTMENT OF COMMUNiTI' DEVELOPMENT SERVICkS <br />BUILDING PERMl7 INFORIIAAT�ON <br />ADDRESS `%/ % ���= %� � �� T � «� T1'PE _ <br />(1) BUILDING PERMIT FEE `_�G-E>E�Ci• `'c <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) WATER SERVICE TO E3E PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY 13LDG INSPECTOR '�INCH <br />(B) EXIST. WATER SERVICE, �PPLIC�TION NO _ _ <br />(C) �PPROk l OUTION a�Z= i�_. T-r f_''-c '=�_ t'__> �� <br />_ C H A R i ---- --- - -- -- - --- <br />(5) DRIVEWAY PERMIT TO df PAID PRIOK 10 liUII.UING PI:Rn11i IS- <br />SUANCE �'-� FEET �G�%C DRIVEWAY(TYPE) S ��� �U <br />3 ¢/%5 C7 <br />(7) STATUS O�WER CHARGES: <br />f30ND DISTRICT <br />NOTFS <br />FOOT�GE <br />N, 5, E, W <br />SEWER CONNECTION CHARGES <br />YEAR �� � � TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL S[W[R PERMIT FEES <br />(7) MONTHLY SE\NER CHARGES: <br />SEWER CONSiRUCTION <br />� c 7!v'� �%'a--- <br />b Z70• �% 0 <br />E 3�-F v <br />y 3�.oc� <br />TRUCK b <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN TH[ MAIN: <br />INFO COMPILED 4Y: <br />APPROVAL: <br />9.1J9 <br />CI1AR7 � -�L�zb�-�f <br />DATE <br />DATE <br />� <br />