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,.._:.�.� <br /> „�, .-, .... , <br /> T 30-�q - S <br /> �UILQING PERMIT INFORMATION <br /> , <br /> ADDFIESS _-_—--1��I�4rL{— --- <br /> � � �1) BUILDINGPERMITFEE $ 7�� �� - <br /> � � ,�,� (�) PLAN CHECK FEE N1'� �5 `�''�z '�� °��`�Z-'__ <br /> , � � (2) PLUMBING —7���-- <br /> '� � (3) MECHANICAL �,Gd _ <br /> � �' (4) STATE SURCHARCES <br /> � � (A) BUILDINGCODE y�5o - <br /> ii p (B) ENERGY CODE <br /> F ZD.I}li <br /> (51 DRIVEWAY PERMIT <br /> � N $ 9�oLn� <br /> � � l D.S dr� <br /> � � � (6) WATER SERVICE TO BE ?AID PRIOR TO Bl11LDING PERMIT ISSUANCE S — <br /> (A) TO BE DETERMINED BY BLDG.INSPECTOR 3�'�`� INCH <br /> (� EXIST._ WATER SERVICE APPLICATION N0. -_—.___-- <br /> (7) STATUS OF 5EW�HARGES: <br /> BOND_-!�—_ DISTRICT _ FOOTAGE N, S, �. w <br /> ORDINANCE 1171•85 a d� <br /> WATER -ZZ L--- --�� <br /> ScWER -��� � -- <br /> TO?AL ORD. FEE ��� � <br /> ��� <br /> ' , � SEWER CONNECTION CHARGES <br /> I1�� YEAR- --- ----- .T9UNK ffi ---- - <br /> i i�� LATEFAL - <br /> ' � TOTAL CUNNECTION GHARGES S -- _— <br /> I <br /> . � �- ' <br /> SEWER PERMIT FEE � — `� <br /> . j <br /> � �� <br /> i ��� <br /> , /, 9� �1� � <br /> __. ' <br /> iLl�� Z 5 z o �� 3 G � � Z- <br /> _—� � �_ <br /> aglp z 150 I qZa <br /> 1_�— `��—' <br /> � �33av � � 5d <br /> (, �IS G <br /> l qzo <br /> . __..— <br /> � � I I � � ° <br />