Payment Type:
Building & Safety Payment
First Name:
Last Name:
Phone:
Email:
Mailing Address:
City:
State:
AK
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DE
FL
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PA
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Zip:
Property Address:
city :
State :
Choose A Fee:
Select One!
Copy of Permit $1.50 per Page.
Copy of Plat Plan $1.50 per Page.
Plus $.50 Shipping and Handling(S&H)
Total Amount:
$
Comments:
OR
Pay By Electronic Check:
ENTER ALL DIGITS FROM LEFT TO RIGHT ALONG BOTTOM OF CHECK
BOX 1
BOX 2
BOX 3
*(Please follow the following instructions when filling out your check information.)
1. BOX 1: Fill in your Nine Digit Routing Number.
2. BOX 2: Fill in your Account Number.
3. BOX 3: Fill in your Check Number.