Laserfiche WebLink
� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS _ <br /> (1) P,UILDING PERMIT FEE 5 <br /> (A) PLAN CHECK FEE <br /> � � 'UMBING <br /> w' �d) o _�HANICAL — _ <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (B) ENERGY CODE _ <br /> (5) �RIV[WAY PERMIT <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM T SUANCE S 50 /0_S,So r�/�� /,�33,j <br /> (A) TO BE JETERMINED BY BLDG.INSPECTOR 3l� INCH _ <br /> (B) E�ISL WATER SERVICE.APPLICATION NO. �-�y ��` J <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE N, s. e, w <br /> SYSTEMS DEVELOPMENT <br /> WATER — <br /> SEWER __ <br /> TOTAI ORD.FEE <br /> SFWER CONNECTION CHARGES <br /> YEAR_ TRUNK 5 <br /> LATERAL <br /> TOTALCONNECTIONCHARGES 5 <br /> SE'�VER PERMI i FEE S <br />