Laserfiche WebLink
BUILDING DF11AIRIMINr <br />13UTIDING P1,13MIT INI101C1A'rION <br />ADDRESS / �j rN �J' S TYPI•; , .0 <br />1) BUILDING PERMIT FEE q�-c <br />(A) PIAN CHECK F'EE <br />2) PLUMBING <br />�%, a• OtJ <br />3) MECHANICAL <br />4) IVATER SERVICE TO BE PAID PRIOR'10 BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY PLBG INSPDCTOR­_:y,�_ INCH <br />(B) EXIST. WATER SERVICE, APPLICATION NO. <br />(C) APPROX. LOCATION <br />CHART <br />5) DRIVEVAY PFMT TO BE PAID PRIOR M BUILDING PERMIT ISSUANCE <br />12- —e FEEr ASP4AV/ D/W (TYPE) s <br />s 3 01�7 - ,z) <br />'G) STATUS or SLIER ClUMES: <br />BOND -f-Z7- DI''TRICP S FM'AGI- <br />N, S, E, W. <br />7) MONTHLY SUM CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER COR41 C.`I'IQV CHARGGrS <br />.YFAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES $ ,e /,= <br />SEWER PEINMIT FEE <br />CATCH BASIN PERMIT FI3; <br />TOTAL somm PERMIT PEES (� I <br />TRUNK $ �G ,ri ,-, <br />LATERAL <br />S131ER SERVICE ,Z . '- J <br />APPiOX LOCATION Or SIDE SLIVER OR/ TEE IN THE MAIN: <br />Qlhiir <br />INrO NhII'II.ED BY: DATE_ <br />APPROVAL: DATE <br />