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� <br /> � <br /> s �;�- a�-� ; <br /> _ . � <br /> � ".`:::.. ' . f <br /> � '�-' ^i. . . <br /> � '` `�"" BUILDING PERMIT INFORMATION � <br /> , �.. . � �, <br /> , •., ;,., <br /> ; <br /> ;:: ,, ` <br /> ADDRESS o20y ,c• /1'1a DI�Q �P ' <br /> g 5 � 9 5a <br /> ' (1) BUILDINGPEfiMITFEE 3S7.1�' - 3`� 5.�(U � �g - � <br /> iFU PLAN CHECK FEE �n� �n � <br /> �l <br /> (2) PLUMBING �� D(� <br /> (3) MECHAMICAL � <br /> (4) STATE SURCHARGES ,1 SG <br /> (I� BIIILDING CODE <br /> "�- <br /> (B) ENERGYCODE �r� Q�L__ � <br /> • :(5) DRIVEWAY PEFMIT $ 7�� Jg_ <br /> (6) WATER SERVICETO BE PAID PRIOR TO BUILDING PER?IT I�UANCE $ -�L�-Sd p <br /> INCH <br /> (pa TO BE DETERMINED BY @LDG. INSPECTOR ; <br /> (B) EXIST. WATER SERVICE APPLICAT!ON NO._ ! <br /> (7) STATUS CF SEWER CHARGES: <br /> E <br /> �' ' DISTRICT FOOTAGE N, s, � w r <br /> , BOND_� <br /> ; <br /> : <br /> ORDINANCE 1171-85 C �. <br /> WATER � � '�c�o� �� <br /> SEWER f <br /> �___. . TOTAL ORD. FEE (D S(J' � r <br /> SEWER CONNECTION CHARGES //� a <br /> � YEAR TRUNK $ <br /> ... LAiERAL �4Or i <br /> TOTAL CONNECTION CHARGES $ �.^,��� � — ' <br /> ��� <br /> SEWER PE�MIT FEE $ ` <br /> ._ r <br /> ..�J` � <br /> , , ; <br /> . i <br /> ..__;�' . . <br /> //a.S S� �. <br /> � <br /> --_ ��5p �_ ; <br /> - - 5 �.sv�o ' � <br /> 5 � <br /> �— ' <br /> i ' �� 7 5co <br /> . fle�5 i <br /> G��� ` <br /> SG � S <br /> _ 7 5� � <br /> . 76 � 75 <br /> . � <br /> •- <br /> . .. .. . _ -., w-�;, <br /> , .., . .;,;.,:.i���K;�-ar.r.Y .. <br /> i- .•1L-Yiv - :'h�: .'C. �Y�:.iS:� . .. ... . . . . .. . . .. <br />