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;-. . , . <br /> � ' �J <br /> v ; <br /> � <br /> � BUILDING PERMIT INFORMATION ', <br /> ;� <br /> „ <br /> i �NIDDRESS /G7Z1 �✓ero�orn l.tJa�/ � <br /> � , (1) BUILLlINO PERMIT FEE ' $ /�I'j_(p,Ci^) <br /> ; (/U PLAN CHECK FEE �I 5 7 , I? %� " '. : / /�-3• ��— ' <br /> � �(2) PLUMBINti ' i <br /> � (3) MECHANICAL � <br /> � (4) STATE SURCHARGES <br /> ' (lU BUILDING CODE �.,�,�� � <br /> (B) ENERdY CODE <br /> (5) DRIVEWAY PERMIT <br /> 1 $ � �79��. �S � <br /> 'I (8) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ Cnl�� <br /> j (/y TOBEDETERMINEDBYBLOG. INSPECTOR ��� �<<>�L����� INCH�F-y'���,�sd�v�� �0� � <br /> 9 <br /> ,� (� EXIST. WATER SERVICE APPLICATION NO. <br /> 4 (7) STATU3 OF�3ErWER CHARGES: � <br /> :� BONQ�111�DISTRICT FOOTAGE � � W i <br /> ;� <br /> �� ORDINANCE 1171-85 <br /> �' WATER� �S � oG <br /> '� I SEWER � r.(Oa Of! ' <br /> TOTAL ORD. FEE SS.Z .D'CJ <br /> `� I-�'_r��� ('.ry�.l SEWER CONNECTION CHARGES `/ 00 <br /> � v YEAR TRUNK $ ��� • <br /> � ____ LATERAL <br /> � � TOTAL CONNECTION CHARGES $ �� `� <br /> �Qri / . �� >�% <br /> r;,, �� S� SEWER PERMIT FEE $ �i17 �—' I <br /> � �,�.�,�- � <br /> � <br /> i <br />� « �./ '� �� �s� 5�.��,, �� x r-,, �a -� �� �, ,''� `-� (� 3. 4� <br /> � `` � <br /> ' 'l II � G <br />� � IS, � a S �� '- <br /> i., 1 c_ �n ,i ��;,� � � <br /> J <br /> i �: � �� �, ,;.� <br /> � j;.v��A - �. <br /> �.,�.�,�t.<<� . <br /> , l �i , ao � �� � ���OI � , IS <br /> L �' .. _._-.. <br /> 3 _ _-------"`�--�-__ - <br /> ; .. <br /> { �s� .� '�.,, �! �. �q �1 . �IG � <br /> , <br /> , <br /> , <br /> , <br /> �� .. . . . . ... _ ... . _ _ - . <br />