Laserfiche WebLink
• 1':U .\111 u�r lu:v ' <br />ADDRESS `76)'3 T�$T P`• S-�. — <br />T'YPE CF BUILDING =,Z&. DA : E <br />1) BUILD-',—, PERMIT FEE 2705aW <br />(A) PLAN CHECK FEE zsyo <br />Zi WATER SERVICE TO BE PAID EEFOR£ <br />PERSIST IS ISSUED <br />h <br />(A) TC BE DETERMINED BY PLBG. INSP.-J INCH <br />(B) EXIST. RATER SERVICE, AP'L. NO, <br />(Cl LCCATICN S_7Vgl2 ,,eo Al, P�7VP <br />5) DRIVEi';AY PERMIT TO BE PAID EEFCRE 1:L-1LDING <br />PERMIT IS ISS?ED as FT. (e)AJO ^ iTYPE) <br />• TOTAL' <br />41 STATUS OF SE%': ER CILARGES: <br />BCND '�IaL DISTRICT 3S FOOTAGE <br />E i'; ER CCNN EC T ICN CHARGES: <br />TRUNK <br />LATERAL <br />TCTAL CCNNECTICN CHARGE <br />SEi1'ER PERMIT FEE <br />CATCH BASIN PERMIT FEE <br />TOTAL SERER PERMIT FEES <br />5) MONTHLY SEWER CHARGES: <br />SEIVER CONSTRUCTION: <br />SEWER SERVICE: <br />LOCATION OF SIDE SEWER i:,R TEE <br />7�!Ailf dmrd,, <br />INFO COMPILED BY <br />REVIEW: <br />APPROVAL: <br />r <br />-__ %lr(, OC) _ _ <br />S_ 29.'bu <br />S (a. S'U <br />tw oo <br />S 70, d Q <br />TRUNK S a, j <br />LATERAL S L <br />$ a,, — <br />THE MAIN: CHARTq%-��• c�_ <br />r <br />This total must be paid before building permit is iFsued, <br />DATE .s-�_7r <br />DATE_ <br />DATE -s _/3-7s <br />CDI--�,r,L; <br />