Laserfiche WebLink
� � <br /> FOR OFFICE USE ONLY <br /> ADORESS � <br /> (1) BUILDINGPEHMITFEE s <br /> (A) PLAN CHECK FEE <br /> (2) PIUMBING <br /> (3) MECHANICAL <br /> (a) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S <br /> (A) TO BE OETERMINED BY BLDG.INSPECTOR INCH <br /> (B) EXIST._ WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND OISTRICT FOOTAGE <br /> N, S, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK S <br /> LATEHAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE S _ <br /> (072 C�' /� ' /2��� <br /> u; 72 �� 5i � 39 74 Z <br />