Laserfiche WebLink
FOR OFFICE USE ONLY <br /> � <br /> ADURESS / <br /> (1) BUILDING PERMI EE $ i <br /> (A) PLAN CHECK FE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES % � <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> � <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUI ING.PERMIT ISS'!AVCE 5 - <br /> (A) TO BE DETERMINED BY BLDG. INSP TOR <br /> � INCH <br /> (B) EXIST. WATER SE ICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES• <br /> BOND DIST T FOOTAGE N S, E, W <br /> SYSTEMS DEVELOPMENT <br /> � <br /> WATER <br /> SEWER <br /> TOTAL ORD. FEE , <br /> SEWER CONNECTION CHARGES <br /> YEAR�-TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHAHGES $ <br /> SEWER PERMIT rEE � <br />