Laserfiche WebLink
7/6 - 9/ ST /��, S, <br />ADDRESS <br />G, DATE <br />TYPE <br />OF BUILDING S11V(;;Ze r.QM/L % <br />(1) <br />BUILDING PERMIT FEE <br />$ <br />(A) PLAN CHECK FEE <br />$ <br />(2) <br />WATER SERVICE TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED „ <br />$ tPQ�00 <br />(A) TO BE DETERMINED BY PLBG. INSP,INCH <br />(B) EXISTING INCH WATER SERVICE <br />APPLICATION NO. <br />(3) <br />DRIVEWAY PERMIT �1TO BE PAID BEFORE BUILDING <br />PERMIT IS ISSUED 26-1 FT. ONC D/W (TYPE) <br />$ 107. SO <br />TOTAL <br />i, L) <br />(4) <br />STATUS OFSEWERCHARGES: <br />BOND / t DISTRICT ✓ FOOTAGE <br />7Ry�K oNL`( <br />N.S,E,W <br />SEWER CONNECTION CHARGES:TRUNK <br />$ <br />LATERAL <br />$_ u <br />^� Z <br />TOTAL CONNECTION CHARGE <br />$ L� /• 5 )(A �(cc- <br />SEWER PERMIT FEE <br />V <br />$ 30,00 <br />CATCH BASIN PERMIT FEE <br />$ <br />TOTAL SEWER PERMIT FEES <br />$ 30, ay <br />(5) <br />MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION: <br />TRUNK $^t9as <br />LATERAL $ <br />SEWER SERVICE $ <br />TOTAL $�l )S� <br />LOCATION OF SIDE SEWER OR TEE IN THE MAIN: <br />r N0i"rry INFO COMPILED B <br />*This total must be paid before <br />building permit is issued DATE <br />