Laserfiche WebLink
FOR OFFICE USE ONLY <br /> ADDRESS - -- - ----- - -- - -- <br /> (1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FEE - <br /> (2) PLUMBING --- --- <br /> (3) MECHANICAL --- <br /> (4) STATE SURCHARGES -- -- - ----- <br /> (A) BUILDING CODE - ----- - <br /> (B) ENERGY CODE --------- - <br /> (5) DRIVEWAY PERMIT ------- <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR '-0 EUILDINC PERMIT ISSUANCE $ -- <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR _INCH <br /> (B) EXIST.— WATER SERVICE.APPLICATION NO. _ - <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND----DISTRICT__ FOOTAGE <br /> N, S. E. W <br /> SYSTEMS DEVELOPMENT <br /> WATER <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR _TRUNK $ <br /> LATERAL - <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ /d <br />