Laserfiche WebLink
^ � <br /> FOR OFFICE USE ONLY <br /> ADORESS <br /> (1) BUILOING PERMIT FEE S <br /> �A� PLAN CHECK FEE , <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE — <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOH TO BUILDING PERMIT ISSUANCE $ /�� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH ' <br /> (B) EXIST. WATER SEHVICE.APPLICATION NO. <br /> (� S�ATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER -----��sc�— <br /> SEWER —�p� — <br /> TOTAL ORD. FEE ,L1G�— <br /> SEWER CONNECTIaN CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PEHMIT FEE S �� <br /> � <br /> I <br />