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•-, <br />r� <br />BU1► C1i��r PERMIT IF�F�ORMATLG�W <br />ADDRESS <br />(1) BUILDINGPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) EJILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />�� . �� <br />`a;: <br />� ::�+,, <br />x;��>. -� y�� ti�.. .. <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCt <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST.. WATER SERVICE APPLICATION �!J. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT_ FOOTAGE <br />N, S, E, W <br />ORDINANCE 1171-85 <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />5 <br />$ '-1�J � — <br />$ � Po, �i92 li� z�-9> <br />�.,,_ 2fa/- <br />_ 8 � <br />9��9 - <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK $ / - <br />LATERAL <br />TOTAL CONNFCTION CHARGES $ � <br />SEWER PERMIT FEE <br />{: <br />��/l� � �� -70�/� ; � <br />2 2_32 C' �� - /�2G�7Z <br />k.i. <br />. . _ ., � � �y�Yy��} <br />:'.t 4 .^ 4i` <br />� . . . . . ,�'� <br />j T' � i � <br />� <br />n6 <br />i a <br />, ._-. . . . '?� qT <br />, " _ ',.,,�y tf ul, i�, r,l <br />S ,� <br />. , r.,F e � Y�r � 1 R�8 <br />- � �`i� . _ _ ` " �`. <br />t - : .r x,.�,.�,,, � �p�' _ <br />