Laserfiche WebLink
� <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEI�. <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(a) STATE SURC�IARGES <br />(A) BUILDM(:� CODE <br />(B) ENERG�' CODE <br />(5) DRIVEWA`� PERMIT <br />(6) WATER SERVi.'F TO f E PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETEI �MINED BY BLDG. INSPECTOR — INCH <br />(B) E%IST. __ WATEP SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND_ DISTRICT FOOTAGE <br />N, 5. 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 />f <br />S <br />s 3� <br />982 <br />/9 <br />/ 2 9G <br />S <br />S <br />f /� <br />