Laserfiche WebLink
� n <br /> FOR OFFICE USE QNLti' <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEF <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE ._ <br /> (B) ENERGY CODE <br /> (5) ORIVEWAY PERMIT <br /> a � � <br /> (8) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S �3�J <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHAR(3ES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER C�) <br /> SEWER _ ,L(� �-� _ <br /> TOTAL ORD. FEE f(� /_3 <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK a <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ �C� � <br />