Laserfiche WebLink
r. - <br /> FOR OFFICE USE ONLY <br /> ADDRESS " <br /> (1) BUILDING PERMfffEE- __ $ <br /> (A) PLAN CHECK FEE ' <br /> {2) PLUMBING "'--�` <br /> � �. <br /> (3) MECHANICAL ' <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE`i ' <br /> (5) DRIVEWAY P�RMIT <br /> /// ' $ •/ n <br /> (8) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ 3 `1 IO `J <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH . <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (» STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT � . <br /> WATER <br /> ' SEWER / <br /> TOTAL ORD. FEE �2 9C� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES a — <br /> SEWER PERMIT FEE $ / `� + <br />