Laserfiche WebLink
• � twlt.u,..�� i•c-n:c:! i u�r �ntatn t ivy.- � <br />ADDRESS -7 C..• <br />- <br />TYPE OF BUILDING 5,1=.P, <br />DATE!�:7 -ZS� <br />1) BUILDI::G PERMIT FEE z.4tq"j%too <br />5 <br />(A) PLAN CHECK. FEE 2610 <br />S 3,'►, S ti <br />21 WATER SERVICE: TO BE PAID BEFORE BUILDI G <br />U Q <br />(G U <br />PERMIT IS ISSUED <br />S <br />IA) TO BE DETERMINED BY PLBG. INSP. INCH <br />IB) LXIST. WATER SERVICE, APPL. NC. <br />(C) LOCATION SZ(/¢D tAtro IN (10 P620P <br />06),eA(,QQ CHART .i — '7 <br />31 DRIVEII'AY PERMIT TO BE PAID BEFCRL FUILDING <br />PERM'IT IS ISSUED FT. QbAtC D'W ITYPE) <br />S j a2, S-4n <br />TOTAL <br />c <br />41 STAT 7S OF SEWER CILARGES.� <br />BOND DISTRICT 3,S FOOTAGE <br />LANDSCAPE NOTES SE1': LR CCNNECTICN Ci:ARGES: <br />TRUNK <br />. I <br />$ DO ? <br />f <br />LATERAL <br />5 <br />TCTAL CONNECTION CHARGE <br />S ISO • U O <br />SEWER PERMIT FEE <br />S <br />CATCH BASIN PERMIT FEE <br />5 + <br />TOTAL SEWER PERMIT FEES <br />$ •O O <br />5) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK <br />S d• a <br />LATERAL <br />b <br />SEWER SERVICE: <br />$ 5 <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: CHART <br />5 TV Ztom Y-c, 1M of `1 ' So , of 1W. N. ..r <br />oivr ,lF 6o7- A 0� - /,,' )x.s19 .qT <br />INFO COMPILED BY: <br />REVIEW: <br />APPROVA <br />This total must be paid before building permit is issued <br />DATE , - j - S <br />DATE <br />DATE S?3—% <br />