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) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />: (6) WATER SERVICE TO BE PAID I�RIOR TO BUILDING PERMI I SUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SER'/iCE. 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 <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />n <br />$ <br />$ <br />$ _ � %ir-��' ��9/ _ <br />�/� � �%�D�� %J <br />$ _ <br />$ <br />g '7U <br />