Laserfiche WebLink
J � � / , <br />� 1 <br />FOR OFFICE USE ONLY <br />ADDRESS _ <br />(1) BUILDING F'ERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PI.UMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE'TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE UETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATEq SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND_ DISTRICT FOOTAGE <br />N, S, E, W <br />� , ._ �/ <br />�; , <br />/ /%i ,,, 1, <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />$ <br />$ �':��.� <br />/��X) <br />/ /� /3 <br />-Llv /_3 <br />YEAR R CONNECTION C TF NK� 1�� $ �.1/_J�O <br />LATERAL ��%��j �'7J� _ <br />TOTAL CONNECTION CHARGES - $ 7 2� <br />SEWER PERMIT FEE <br />r, <br />/��� �� � i _ ��� � )�, j� � <br />$ �� <br />l -�. �� '!_:� � � , �_, L_:� � � <br />