Laserfiche WebLink
,-. � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ __ <br /> (A) PLAN CHECK FEE <br /> (2) PLllMBING <br /> (3) MECHANICAL _ <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ - ��� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. � WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAUE <br /> N, 5, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER /OOU <br /> SEWER <br /> TOTAL ORD. FEE _ <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ 7v <br /> 3�/9.� G' l�8-� <br /> ��a @ �� . i <br />