Laserfiche WebLink
FOR OFFICE USE ONLY <br /> ADDRESS_ _ _--__ <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGV CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER S�RVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ , 3���OS <br /> (A) TO 8E DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. -WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S. E. W <br /> SYSTEMS DEVELOPMENT �� <br /> WATER <br /> SEWER <br /> TOTAL ORD. FEE /Z �� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL � <br /> TOTAL CONNECTION CHAiiGES $ <br /> SEWER PERMIT FEE $ �D <br /> �-, r <br /> � <br />