Laserfiche WebLink
BUILDlRlG PERMIT 6�l�ORIVlATION <br /> ADDRLSS -- ("�r�1=" � � r---- ----- <br /> (1) BUILDING PERMIT FEE S �� � �G <br /> (A) PLAN CHECK FEE - <br /> "3��'' �2) PLUMBII�G S� <br /> �C'-] <br /> �� (3) `+'E.CHANICAL -�r� ��O <br /> ��� (4) �TATESURCHARGES -- <br /> yzg �,a) BUILDINGCODF � �n— <br /> � Hx <br /> (B) ENEFGY CODE --���— <br /> y y� (5) DRNEWAY PERMIT -- /��/; <br /> S ___�ll�!(111� - <br /> � O� . <br /> H C7 <br /> � />5 °- ' <br /> H �g (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S _ _ . _ -- <br /> �� � (A) TO BE DETERb11NED BY BLDG. INSPECTOR ��`� INCH <br /> zH�� "3 z (8) EXIST. _-__ VJATER SERVICE APPLICATION NO. <br /> C�A y <br /> H (7) STATUS OF SEWER CHARGES: <br /> � �� BOND ; DISTRICT FOOTAGE N. S. E. �v <br /> Z H p� <br /> H O U� <br /> ORDINANCE 1171-85 <br /> • �� C G� <br /> WATER __ - - I - _. <br /> SEWER �i 7-I- <br /> � r <br /> i0T.4L ORD FE[ t1�_ ��' : <br /> '+... <br /> "� SF'NFF CONNFCI ION GI iAFGES �,� <br /> YEAR TRUNv b _ !-=/C'- - -- - <br /> w <br /> �.� LATERAL - — <br /> �r <br /> iOTAL CONNECTION CHARGES S - _--L1�-- <br /> � ,,,, <br /> � � "�r l'� <br /> l 1`� <br /> SEWF:i PLRAIIT FEE S -7 " <br /> f �� ( <br /> E "'� <br /> ( ��� . <br /> .; <br />