Laserfiche WebLink
DE�ARTMFNT OF COMMUNITY DEVFIO�MENT SENVICES <br />BUILDING PERMIT INFORMATION <br />ADDRESS �-�OFf ' 2���-e. �T�-t.! _TYPE _ <br />(1) BUILDING PtNMII ItE <br />(,>) PLAN CHECK FEE <br />(2) PLUMBINC <br />(3) MECHANICAL <br />(4) WATER SERVICE TO f3E PAID PRIOR TU BUILDIP.G PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY E�LDG INSPECTOR. `3�� INCH <br />(B) EXIST. _ WATER SERVICE, APPLICATION NO. <br />(l:) AP'ROX.I.00ATION <br />S'F� <br />s _ �>� "�- <br />� �.�y�3 <br />� � °..� <br />,�JiS ev <br />� D �- <br />CHART <br />(5) DRIV[WAY PERMIT TO BE PAID PRIOR TO BUILDINr PERMIT IS- <br />SUANCE FEET _ URIVEWAY (TYPE) 3 � � y <br />3 <br />(7) STATUS Of SEWER CHARGES: <br />BOND � DISTRICT <br />NOTES <br />FOOTACE <br />N, S, [, W <br />SEWER CONNECTION CHARGES <br />YEAR �� TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PFRMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />S � 7 (� . cr� <br />� 3 l� . 6 t� _ <br />TRUCK s <br />LATERAL <br />SEWER SERVICE <br />APPROX. LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFOCOMPILED f3Y: <br />APPROVAL: <br />5 04 <br />CHART <br />DATE <br />DATE <br />•. � <br />