Laserfiche WebLink
� � <br /> \ FOR OFFICE USE ONLY <br /> AODRESS ___ _ __—_ _.__._.—_ <br /> (1) BUILDING P 1AT FEE S __ <br /> �A) PLAN GHE FEE __ <br /> �2) PLV••BiNG <br /> (:1) ME(.HANICAL <br /> �E� STATE SUP:HAHGES _ <br /> �A�BWLDING CODf <br /> IU) ENERGV CODE _ <br /> ',i) DRIVEWAVPEfiM1T _ <br /> S <br /> ,1 , _ : . :� �.��,�e <br /> I6) WAiEP SEIiVICE TO f E PAID PRIO TO 9UILDING PERMtT ISSUANCE <br /> (A) TO BE DI.?6NMINED UY BLD(i. IN. PEiCTOR____INCH <br /> (B) EXIST. WATER SEiiVIC APPLICATION NQ___ ___ <br /> p) STATUS OF SEWEP CHAH6ES. <br /> AONO_.___PISiRICT .FOO�AGE._. <br /> N 5 E. <br /> SVST[M OEVELOPM[N <br /> WATEF <br /> SEWEN _ <br /> TOTAL ORD. E <br /> SEWER CONNECT N ARGES <br /> VEAR UNN S <br /> LA7ERAl <br /> TOTAL CON CTION CHARG f .a <br /> SEWEH EPMIT FEE S —_ —._ <br /> �a �0 <br /> 1� <br /> �� <br /> i <br /> / <br />