Laserfiche WebLink
FOR OFFICE USE ONLY <br /> ADDRESS__ <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (I) PLUMBING <br /> (3) MECHANICAL <br /> (4) ;iTATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) CNERGY CODE <br /> (5) DRIVtWAY �ERMIT <br /> $ <br /> (6) WRTER SERVIC': TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ ___ � l�S <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR_ INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION N0. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT_ FOOTNGE <br /> N, S. E. W <br /> SYSTEMS DEVELOPMENT - �� <br /> WATER <br /> SEWER E�,y __ <br /> TOTAL ORD. FEE __������' <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ . �O <br /> LATERAL <br /> TOTAI CONNECTION CHARGES $ �-�3� <br /> SEV1'ER PERMIT FEE $ __z[L <br />