Laserfiche WebLink
ENGINEERING DEPARTMENT <br /> BUILDING PERMIT INFORMATION <br /> ADDRESS O BUT= S � S , W. / TYPE CQ O"„y <br /> 1) BUILDING RM FEE $ _ <br /> (A) PLAN C ECK FEE d 6s0 Cif' $ <br /> 2) WATER SERVICE 0 BE PAID BEFORE BUILDING <br /> P.M <br /> PEIT IS ISSUE 71q it S .2oo <br /> 7 <br /> (A) TO BE DETERMI ED BY PLBG. INSP. INCH <br /> (B) EXIST. WA R SERVI , APPL. NO. <br /> (C) APPROX. LOCATION A> /Jr� ✓� Y, S,µI, <br /> 2. :tD. S, Mvii, CHART W t3G <br /> 3) J:t::ZWAY PERMIT TO BE PAI \HBA <br /> ILDING <br /> P:..:i i IS ISSUED 2-- L� F . D/W (TYPE) $ <br /> TOTAL* S <br /> 4) S:h: S OF SEWER CHARGE <br /> DISTRICT 3 AGE 3 G O _ <br /> N, S, ENOTES NNECTION CHARGES: qj' TRUNK87 LATERAL.r.r a9cc or ev&rtuiCONNE TION CHARGE $pZw ' s . I14V1`Ave pj. /S InCt4dPERMIT 'E $��e �a<Kc BASIN PE T FEE�np^ S <br /> r3, --7&q- <br /> TOTAL SEWER PERD;IT FEES 5 <br /> SEWER CHARGES: g o <br /> SEWER CONSTRUCTION: D <br /> TRUNK <br /> LATERAL $ <br /> SEWER SERVICE: $ r F11 <br /> N <br /> .'C'.TIOy OF SIDE SEWER R TEE IN THE MAIN: .3�`w <br /> P c L /oo ESN K�— <br /> Ow .a0 ':ihRT S -// - t 8 - '1 <br /> :LtD BY: DATE <br /> DATE <br /> PROJECTS DIVISION <br /> t <br /> APP: <br />