Laserfiche WebLink
� � <br /> 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 /> $ �9�, i�� <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDWG PERMIT ISSUANCE $ ��� <br /> (A) TO BE DETERMINED BY BLDG. INSPEC:TOR INCH � �D j <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER ��Jr2 <br /> SEWER �(�/ <br /> TOTAL ORD. FEE � ��'J <br /> SEWE�i CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ �� <br /> /// ?c�ZJ, /'J� / <br /> � , <br /> ' /� e <br /> //5� `/�� �' LVCt.ZC-I, ,�L/YC'./a� %;a.� ��. �`•'�l;i <br /> / / � ,, <br /> �' �97 �Q.�/�,(�*�`�GLi ,"`!'7' L< ',` �' i � i; i /;"'(i.� <br /> �J <br /> ' I � ��.,� 1 � l� �.,!` <br />