Laserfiche WebLink
: I..... , � �.��;�.: <br />� <br />�UfL.D1iVG PERMIT II�IFORM/�6T10�! <br />ADDRESS \ <br />(1) BUILDING PER �� <br />(A) PLAN CHECK EE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WA� Efi SERVICE TO BE PAID PRIOR��' BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSP �CTOR INCH <br />(B) EXIST. WATER SFRVICE APPLICATION NO. <br />(7) STATUS OF SEWER CHAAGES: <br />BOND DISTRICT FO � TAGE <br />N, S, � W <br />ORDINANCE 1171-85 <br />WATER <br />SEWER \ <br />� <br />TOTAL ORD. FEE <br />., <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />0 <br />$ <br />$ <br />$ <br />3 <br />� <br />-. _ ._ '_=yr"' � . <br />. . .. � �� � J - :...� 4 '+5. ,y � • . <br />� C { � ., f :IM`Sa 4� -� ;'1 h �.:.i �i{.'.�Tn _ .. t . ... <br />