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� h . <br /> �:;''�. <br /> - x <br /> ,, <br /> BUILDING PERNiIT INFORI�CIATION <br /> 1•:. <br /> _ �, <br /> `r�.�, <br /> � �, �;: <br /> ADDRESS a: :[�^. <br /> (1) BUILDING PERMIT FEE � ^:j�I':� <br /> (A) PLAN CHECK FEE — +:�� �; <br /> (2) PLUMBING �� `� <br /> (3) MECHANICAL — <br /> (4) STATE SURCHARGES ' <br /> �' <br /> '_,; '_, , <br /> (A) BUILDING CODE �": `'`�" <br /> : , �i�.wr�.� � <br /> (B) ENERGYCODE <br /> (5! DRIVFWAY PERMIT — s <br /> � —_ 7 Sa. 3 c � ,; _ `- <br /> _ M1_(:i4 <br /> � �:,.�t::V <br /> o J -wjV. ' <br /> (61 WATER SERVICETO BE PAID PRIOR TO BUILDING PERMIT IS3UANCE $ Lo .� �' <br /> :i�,� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR ��y "' INCH ':"�;;�r. <br /> . ..�;;5�:s. <br /> (B) EXIST. _WATER SERVICE APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: -' ;' <br /> `,,,? <br /> BOND� y`-L DISTRICT FOOTAGE � <br /> N, S, E, W <br /> ORDINANCE 1171-85 <br /> VUATER —�a `'� � " — <br /> SEWER 589. o 0 <br /> TOTAL ORD. FEG �/3. o 0 <br /> ,� <br /> 4fi <br /> SEWER CONNECTION CHARGES ? '" <br /> = ,� �' <br /> YEAR_ _TRUNK � � <br /> _ i ,.,�N,!: <br /> LATERAL - tiqc <br /> TOTAL CONNECI'ION CHARGES "� — �-- � L+h� : <br /> ;;r�`: <br /> � <br /> o^ , ^;, <br /> SEWER PERMIT FEE � — �� u� <br /> ,J .,' <br /> � �,� <br /> ,;i_, <br /> `,i'... <br /> 's'_,;�� <br /> 't;i <br /> `i <br /> ;i� <br /> x�'�� �`�fil, <br /> � a <br /> ' � � <br /> i <br /> 1 ' <br /> � tf <br /> r� <br />