Laserfiche WebLink
F�R OFFI�E USE ONLY <br /> ADDRE5S _ _ <br /> (1) EiUILDING PERMIT FEE � <br /> (A) PLAN �HECK FEE _ <br /> (2) PLUMBING <br /> (3) MECHA�•IICAL <br /> (4) STATE SU�CHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIQR TO BUILDING PERMIT ISSUANCE $ �D,S _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. __WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEVa'ER CHARGES: <br /> BOND _DISTRICT FOOTAGE <br /> N, 5, E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER �j/�? <br /> SEWER <br /> TOTALORD. FEE __ � — <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ � <br /> LATERAL _ <br /> TOTAL CONNECTION CHARr,ES $ <br /> SEVJER PERMIT FEE S /Q <br /> UL10-�� / <br /> i �7 7� � ���' �3'�/79% <br /> ,�i�' � /7 3 �/�3`� , <br /> ��393j <br /> .�.,�,� <br />