Kane County Building Department
             
Kane County Building Department
(435) 644-4985


Job Name or Permit Number
 
Amount:   $   Item Subtotal:  
$0.00
Job Location/Description [1]

Job Location/Description

[2]

Job Location/Description

[3]

Job Location/Description

[4]

Job Location/Description

[5]

Job Location/Description

[6]

Job Location/Description

[7]

Job Location/Description

[8]

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Job Location/Description

[10]
Total:
$0.00
 
Payer's Information
First Name: Last Name:
Phone: Email:
Payment Information
Method of Payment:
Processing Fees: Credit cards: 2.5% ($1.50 min)
                    (+1.5% processing fee for foreign cards)
eChecks: $0.75
Update name from Payer's Information
Name of Individual
on Checking Account:
Name of Individual
on Savings Account:
Name of Business
on Checking Account:
Bank Routing Number:
Bank Account Number:
Credit Card Number: (Type number or swipe with cursor in this empty field)
Expiration Date: /
Card ID (CVV2/CID) Number: What is the Card ID?
Cardholder Information (exactly as it appears on your statement)
  Update from Payer's Information
Cardholder's Name:
Billing ZIP/Postal Code:
**Please be aware that payments will reflect on your statement as
County UT 800-764-0844 Clinton UT
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