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:��i <br /> � <br /> , ' „ <br /> BUlL.DING PERMIT INFORMATION <br /> � " 5 � <br /> C>� y ADDRESS "�Jgo�� �{�(���'� - ----- lI r ` <br /> t' <br /> (1) BUILDING PERMIT FEE � —I, � <br /> �, �� �: ,�, <br /> K H� (A) PLAN CHECK FEE --1 c�_ <br /> ,Q�N ,o (2) PLUMBING �� - ' � <br /> �� � (3) MECHANICAL — � <br /> ,.�" 1 <br /> p (4) STATE SURCHARGES � � '�"� , " �� <br /> HC <br /> ��ty (A) BUILDING CODE 3 � �G"� <br /> 0 1 r�«� � �. <br /> o� � (B) ENERGYCOOE �O <br /> +: <br /> y y� (5) DRIVEWAY PERMIT � t� � �, <br /> Cy M H g S�� ' ��f.4 ' 1_ <br /> - , q, •..��. .� � <br /> gd� , ' �, <br /> �� �",� (o) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIIT ISSUANCE S ���� � - " <br /> p tyn (A) TO OE DETERMINED BY BLDG. INSPECTUR `�l�/�— INCH <br /> (8) EXIST. WATER SERVICE APFLICATIUN NO. - ' '`i <br /> c�y.,i Sra 7"-�a�!�.. <br /> I ' _ �.-N�,..�--- �.. .. <br /> (7) STATUS OF SEWER CHARGES <br /> BOND DISTRICT_—__ FOOTAGE N�E, w <br /> ORDINANCE 1171•85 I�� � <br /> WATER � <br /> SEWER —�/�?.-� <br /> TOTAL ORD. FEE -- ((Jl l� <br /> �C�. <br /> j SEWER CONNECTION CHARGES ��D_ <br /> 1 � TRUNK S <br /> � YEAR_ <br /> 0��� LATERAL <br /> •I TOTAL CONNECTION CHARGES � �� <br /> I <br /> + �'� SEWER PEFMIT FEE � `�D� <br /> I �� <br /> �I �� � <br /> i __ <br /> ��' � � ati;. r t .�.^C � haa�4a . � <br /> ��x b�t+ } .�-�. Y.:sTI F A �� . . : <br /> - . "7v. � f : . � .� :� � 1� <br /> �' �i��i� 2 - �. y��[ � � '�Eir wS +l <br /> JC '� �� r.��') y].: 1 � � 1 <br /> ���-��'�Yt� � � � � a� k a" y�,-a�.A �^��� <br /> x �'�" + q�* <br /> r . ! i r �1��tv� i„, <br /> t .' A.3 � 3 --."Se.2u- � �} . <br /> a°y ��.ui M1f P�:� . � vn/ �'g V A9( at �+ , 7 �q„ <br /> . x p � "1H '{��5',y�n �b{ <br /> $� �±,I,��'qy45 ; ' >'�� 1 �'�"$ � '�'� <br /> I �,{ v h � 1.. t � . <br /> . . 1 .n 1.�,�`K �'� ' M � F� �� <br /> 1..�...� .1 �. p ."d , ) . ,.� C: <br /> r �� �,w c <br /> . . S _ � � ,;i. .k� ` f1,�� 8 .�: <br /> t� e ba`': t4A � �� . .i,4,'c'� E <br /> � ''4'�'xi. � ' kr�� V ...�.+. <br /> �, „�'.:. �' Y ,.,�.,�i�4°..� <br /> ' . "�°!�' �vo'°e�a .,_ " ' <br />