Laserfiche WebLink
� � <br /> FOR OFFICE USE ONLY <br /> ADDflESS _. _- <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMOING <br /> (3) MECHANICAL _ _ <br /> (4) STATE SURCHARGES <br /> (A)BUILDING CODE <br /> (B) ENEFiGY CODE <br /> (5) DRIVEWAY PERMIT _ . <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER411T ISSUANCE 4 �-3� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND �ISTRICT FOOTAGE <br /> N, 5, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER _ ��� <br /> SEWER <br /> TOTA�OFiD.FEE __ <br /> SEWER CONNECTION CHASGES <br /> YEAR _ TfiUNK $ � _ <br /> LATERAL - -- <br /> TOTAL COIJNECTIOfI CHARGES 5 <br /> SEWER PERf�11T FEF. $ �v <br />