Laserfiche WebLink
ENGINEERING DEPARTMENT <br />BUILDING PERMIT INFORMATION <br />ADDRESS i C� Q/ S r / S • TYPE <br />1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />2) WATER SERVICE TO BE PAID BEFORE BUILDING 0 j <br />PERMIT IS ISSUED 1. $ Q•DO <br />(A) TO BE DETERMINED BY PLBG. INSP. _ �� INCH v ' <br />(B) EXIST. WATER SERVICE, APPL. NO. <br />(C) APPROX. LOCATION N.of of i/��1�/. s•F. <br />(vs/ri) <br />S' E W, P� CHART S� Z9j <br />i) DRIVEWA I PERMIT TO BE PAID BEFORE BUILDING A <br />PERMIT IS ISSUED t_/' FT. C e n c D/W (TYPE) QA <br />TOTAL* <br />4) STATUS OF SEWER CHARGES <br />BOND_ DISTRICT_ FOOTAGE <br />ER CHARGES: <br />SEWER CONSTRUCTION: <br />SEWER SERVICE: <br />SEWER CONNECTION CHARGES: <br />YEAR 17 L TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGE <br />1'�j y j�• <br />SEWER PERMIT FEE'_' $ 'J�• °� <br />CATCH BASIN PERMIT FEE I $ <br />TOTAL SEWER PERMIT FEES I $ <br />TRUNK% $ <br />LATERAL 1 \ $ -- <br />APPROX. LOCrION OF SIDE SEWER OR TEE IN <br />.'.. ._..._: _r Hu I d.... tE <br />INFO COMPILED BY: <br />REVIEW: <br />PROTECTS DIVISION <br />APPROVAL: _ <br />ENGINEERING DEPARTMENT <br />$ 4.. 5-0 <br />IN: B'.we.a 4 e%F11W SE'. <br />n-►e-ze-f <br />DATE 8/j 74 <br />DATE <br />i�:Tnla <br />* This total must be paid before building permit is issued. <br />