Laserfiche WebLink
.. <br />•.. , . , . <br />ADDRESS ___� <br />(1) BUILDING PERMIT FEE <br />�, (�) PL�4N �HECK FEE <br />(2) PLUMBING ' ' �, <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERAIIT <br />FOR OF�IC;E US�E ONLY <br />, ;� <br />, , , . . . . <br />.'• . • . '8 <br />' • ' • t <br />' . '$:� 's •�.. � <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE . g /O � ' <br />(A) TO BE DETERMINED BY BLCtG. INSPECTOR - <br />(B) EXIST. ------ INCH <br />WATER SERVICE. APPLICATION NO. �_ <br />(7', STATUS OF SEWER CHARGES: ' ` <br />BOND DISTRICT�_FOOTAGE ` <br />N, 5. E. W <br />SYS7EMS DEVELOPM[N7 <br />WAT[R <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR_�TRUNK <br />LATERAL . <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />�� � <br />�i `� <br />�Z �i'(o <br />$ — ? -,:� ;'. <br />$ • <br />S — %�7 <br />