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BUILDING PERMIT INFARMATION <br />e <br />e <br />ADDRESS <br />(1) BUILDINGPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY C,ODE <br />(5) DRIVEWAY PERMIT <br />(6) WAT�R SERVICE TO BE 6'AJD PRIOR i O BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH ; <br />(B) EXIST. _ WATER SERVICE APPLICATION NO. <br />(7) STATUS OF SEWEN CHARGES: <br />B�JND ' DISTRICI' FOOTAGE N, s, �, w <br />� <br />. <br />$ <br />$ . <br />$ <br />ORDINANCE 1171-85 <br />WATER � <br />SEWER - <br />TOTAL ORD. FEE ' � :i <br />SEWER CONNECTION CHARGES _ �, <br />YEAR'`' TRUNK i " � ' <br />� , _ _- <br />j.... ... <br />LATERAL ___ <br />' TOTAL CONNECTION CNARGES $ ` ---- <br />� <br />� � ' _ ; _. . _� �. <br />._ _ <br />;,, � . � � SEWER I .. _._ <br />, � ' _ — <br />i , ... � ,,,, ,�,�� i:i � <br />PERMIT FEE .. _ � _ . _ $ „�...� .., . i - - <br />, ,- - _ <br />, _. � , <br />� �: . .. � .. ,,:. . <br />� : ;-�: . <br />, ,,,�, - :.:� ,. _ <br />. _ _ . _ ... � <br />. , � , • -- ,_ . _ __ _ � <br />'"...... _ . . . <br />_. .. <br />.5 I . � _.. _ . . _ I .. .. ... _ . . . . , : . <br />. � <br />- .. _�.I . � _ ...._.._. ._�. _ . �..._ .. . <br />... ' _ <br />. ... - . ' � , . �..:. . _.._ ._. . .. . ..... .' . . � __.. <br />.. . I I . _ . ...__ .. <br />I .... _ . ... . ._ . .�. . __.1 � . . _ "„ I � � . .�.. <br />i ,, , � • , � . I <br />_ -- <br />. _ i � ��, <br />' t i � .,- __ ..._ _ _ <br />... — <br />_ �_ . _ _. �:� i .� �. <br />,, <br />,.,. �: .._ _... ..._. ..___ <br />, _.._. -•_-------- <br />— --- • --- - .. ;.i,��,,.] .' ,;,,;�_�F!?? <br />_ ............. _._,.. <br />.... r �;,� :,;�; <br />. _ _,��.:: � � <br />_. . __ ., . . _:�, , ; � - <br />' � ..— - <br />,. . ._ ___.. <br />, , � . .._. ,.,,, ,,,,� <br />__ _.. .._. ._ .. .. � . <br />, , ; ..�;; � ,. .... . --.. .,. <br />� ,.. , <br />, �. , _ <br />. . � �. , . . ' , ,..,�r. , . .... .�... ... <br />I <br />� . ;' -� , � . .,,�; ;>...., , �, � n - .:;,.�, <br />� <br />. , . � <br />