Laserfiche WebLink
�iii� ;. .. <br />�,a�.it� � <br />�;�111`� � <br />�tif';lPe.' <br />'"?�'`?� F'OR OFFICE USE ON�.Y <br />.,,,,?(<<_ <br />>,:,;�R=. . <br />�cs;t"�<<y`.'' <br />�� <br /> \ ADDRESS <br />�1\5 - -- - <br />�;��.y (1) BUIL�ING PEFMI7 FEE $ <br />' ,� i�;.� (A) PLAN CHEGK FEE <br /> (2) PWMBING . <br /> (3� MECHANICAL <br /> i <br /> (4) STATE SUHCHARGES � � <br /> (A�BUILDING CODE � /� <br /> (B) ENERGY CODE �� '/ <br /> - (5) DRIVEWAY PERMIT . <br /> ` S <br /> � <br /> / <br /> (6) WATER SERVIGE TO BE PAID PRIOP TO BUILDING PERMIT ISSUANCE / <br /> � g -- <br /> (A) TO PE DETERMINED BY BLDG. INSPECTOR INCH <br /> (�) [XISL WATER SEFVICE.APPLICATION NO.�_ _ _ <br /> (7) STA7US OF SEWER CHARGES: � <br /> BOND DISTRICT_ FOOTAGE \� <br /> \ <br /> N. 5. E. W \ <br /> SYSTFMS DEVELOPMENT � <br /> WATER \ <br /> SEWER <br /> TOTAL ORD. FEE � <br /> � <br /> � <br /> SEWER CONNECTION CHAqGES �� <br /> YEAA 7RUNK $ _ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE 5 <br /> � � � . <br /> -�; ��� J �� . ._�i..�,: <br /> G�7z C�/��`� i3i�4 <br />