Laserfiche WebLink
FOR QFFICE USE ON�Y / <br /> ADDRESS - � <br /> (1) BUILDING PERMIT�FFE $ <br /> (A) PLAN CHECK FEE <br /> � <br /> (2) PLUMBING `� <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES �� --- <br /> (A) BUILDWC CODE \ <br /> (B) ENER��r' ::ODE <br /> (5) DFliVEV/AY PERMIT I <br /> $ __ ; <br /> (6) NiATER SEFlVICE TO BE PAID PRIOR TO BUILDING PE Il' ISSUANCE $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLIC ION NO. -- <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT F\TAGE N, S, E, W <br /> \ '� <br /> SYSTEMS DEV\OPMENT <br /> WATER �� <br /> SEWER \�� <br /> TOTAL ORD. FEE � - <br /> \ <br /> SEWER ::ONNECTION CHARGES \� <br /> YEAR TRUNK �\� <br /> LATERAL <br /> TOTAL CONNECTION CHARGES \s _ <br /> \ 1 <br /> SEWER PERMIT FEE � � r� <br /> j <br /> i <br /> I <br /> I <br /> i <br />