Laserfiche WebLink
1 <br />DEMRTM�NT OF �OMMU'�V17Y DEVEIOrMENT SERVICES <br />BUILDING �ERM��' INFORMATION <br />ADDRE55 �S� �'�O/� �� TYPE GOti.�J.y?. <br />� s Z(oOB• O D " <br />(1) BUILDING PERMIT FEE �C)jOt`J� • ` <br />(�), PL�N CHECK FEE • ! , . , ' . . �•� 7 �/ <br />. , . �;��. � �; 4[o�'.�a ` <br />(2) PLUMBINC ' ' <br />(3) MF.CHANtCAL <br />702 •�t� `' <br />(4) WATER SERVICE TO BE P/�ID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDC INSPECTOR INCH <br />(B) EXIST. WATER SERVICE, APPLICATIUN NO. <br />(C) APPROX. LOCATION <br />CHART — <br />(5) DRIVEWAY PERMIT TO BE PAID PRIOR TO BUILDING PERMIT IS- <br />SUANCE FEET DRIVEWAY iTYPE) S <br />3 <br />(�) STATUS OF SEWER CHARGES: <br />, BOND DISTRICT FOOTAGE _ <br />NOTES <br />� ;,� �i• �� <br />'� 4t4-�3 . <br />�.lu,��uy, ��c— <br />� 3'S'!.4 4o/i� <br />, <br />::,_:, <br />N, S, E, W <br />�5[.4b K-Ii4 = 2���,80 �a990 <br />0 0 — �a y89 <br />SEW�� CJNNECTION CHARCES <br />YEAR " TRUNK <br />LATERAL <br />TOTAL CONNECTION�CH�RGES <br />SEWER PERMIT FEE <br />CATCH BASIN PERMIT;FEE <br />TOTAL SEWER PERMIT FEES <br />(7) MONTHLY SEWER CHARGES: <br />SEWER CONSTRUCTION <br />SEWER SERVICE <br />s <br />�O � ✓ <br />� y 3/3--�— <br />5 a <br />TRUCK E <br />!ATERAL <br />APPROX. LOCAiION OF SIDE SEWER OR TEE IN THE MAIN: <br />INFO COMPILED BY: <br />APPROVAL: <br />s•sa <br />CHART <br />UATE <br />DATE <br />