Laserfiche WebLink
�. ,-, <br /> FOR OFFICF 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) ENER(iY CODE <br /> (5) ORIVEWAY PERMIT <br /> a <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE a <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATEH <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK y <br /> LATERAL <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIT FEE g <br /> J <br /> 7 ' <br /> os � <br /> � � <br />