Laserfiche WebLink
FOR ORFICE USE ONLY <br /> ADORESS <br /> (t) BUILDING PERMIT FEE <br /> $ <br /> (A) PLAN CHECK fEE — <br /> (2) PL11M81N(i <br /> (3) MECHdNICAI <br /> (4) STPTE SURGH�IRGES _ <br /> (A) BUILDING COOE <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERM'T <br /> � <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ __ /� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (8) EXIST. WATER SERVICE.APPLICATION NO._.__ <br /> (� STATUS OF SEWER CHARGES: <br /> �Nd DISTRICT FOOTAGE <br /> N. S. E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER 2 <br /> 8EWEH <br /> TOTAL ORD. FEE ��� <br /> SEWER CONNECTION CHARGES <br /> YE�R TRUNK $ <br /> LATEii�AL � <br /> TOTAL COWNECTION CHARGES $ <br /> SEWER PERMIT FfE $ _ 7Q I <br /> �z0� @ �,19 9 :� �fiy0 <br /> �/ya � i� � �9�s� �� <br /> _ � <br />