Laserfiche WebLink
� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />;8) ENERGY CODE <br />(5) DRIVEN/AY PERMIT <br />(6) UVATER SEaVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(8) EXIST. —WATER SERVICE. APPLICATION NO. <br />(7) STATUS UF SEWER CHARGES: <br />80ND DISTRICT FOOTAGE N, s. E, w <br />SYSTEMS DEVELOPMENT <br />WATEFl <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ <br />� /OS <br />-- ��j��� <br />7f/�/ <br />ia 9� <br />$ <br />