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�lll��I�C� P��9i�1'�' C�I�OR�YP3�41'1��9 <br /> ADDRESS — -- - <br /> (1) BUILDING PERMIT FEE S <br /> (A) PLAN CHECK FFE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILD�NG CODE <br /> (B) ENEflGY C(�DE <br /> (5) DRIVEWAY PtRMIT <br /> g �7���5� <br /> �' - , /, . <br /> (6) WATER SERVICE TO BE PAID PFIOR TO BUiLDING ?ERMIT ISSUANCE $ ��< � ;—_-____._-_ I <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR _ _ INCH I <br /> (B) EXIST. WATER SERVICE APPLICATIOP7 NO. __. _ I <br /> (7) STATUS OF SEVJER CHARGES: I <br /> BCND_ DISTRICT __ FOOTFi,'a= <br /> ri. s, �, w <br /> ORDINANCE 1171 85 <br /> WATER _ <br /> SEWER -- - - - --- <br /> TOTAL URD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ —_ `� <br /> LATERAL -_- \ <br /> TOTAL CONNECTION CHARGES S _ � <br /> \, <br /> SEVJER PERMIT FEE 3 --__ _- _ � <br /> ��.L/;__�.._ G(r :i ., �_ _ .;� -- �`�.-i'�� �-��j � . <br /> � � �. <br /> � <br /> % / / ., , ..Y v r p,-, l ,�. <br /> ' .!'n.�//c Q$ �)� ���� /`-��_ �- <br /> . _. �c%._� � 9�v (�f, � �l; „ <br /> / <br /> 1;i1 F, �� � ��-- <br /> �',: , ��,, ,'.i< ;_ �� <br /> r '' ,� � - <br />