Laserfiche WebLink
� � <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDINQ PER T FEE <br />(A) PLAN CHECK E <br />(2) PLUMBIN� <br />�(3) MECHANICAL <br />(�) STATE SUHCHARGES <br />(A) BUILDINO CODE <br />(B) ENEROY CODE <br />(5) DRIVEWAY PERMIT <br />t <br />S <br />i <br />(8) WATER SERVICE TO BE PAID PRIOR O BUILDING PERMIT ISSUA S ' <br />(A) TO BE DETERMINED BY BL00. INS CTOR INCH I <br />(B) EXIST. WATER SEHVICE. PPUCATION NO. I <br />(� ET.ATUS OF SEWER CHARQES: � <br />BOND DISTRICT FOOTAGE <br />ORD. <br />CONNECTION <br />� <br />� <br />TOTAL CONNECTION CHARG6S S <br />SEWER PEHMIT FEE \ S <br />,p3 �0 <br />0 <br />