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! <br /> � <br /> . <br /> � ��; � , <br /> , <br /> ; ; BIJfLDIN6G RE�iVI1T INF�P.NiI�YION <br /> i <br /> � <br /> .I ADDRESS �2io2Q I Piu�� <br /> � (1) BUILDWG PERMIT FEE $ �9 "-Sn — <br /> (A) PLAN CHECK FEE <br /> , (2) PLUMBING _ [�G.bC� <br /> (3) MECHANICAL -�� 'n� - <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE - ��� <br /> (B) ENERGY CODE — <br /> (5) DRIVEWAY PERMIT Z��� <br /> � $ �sa,a� <br /> :� <br /> , <br /> � (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANI:E $ ��L ��� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR � �� INC I <br /> ' (B) EXIST. WATER SERVICE APPLICATION NO. — <br /> ', (7) STATUS OF SEVJER CHARGES: <br /> BOND__�� DISTRICT FJOTAGE <br /> N, S, E, W <br /> ORDINANG� i 175-85 <br /> WAfER <br /> SE�NER —����/C,�-- <br /> TO7AL ORD. FEE ����� <br /> ; <br /> � SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ �'7���Q <br /> � LATERAL ----�„�C' �� <br /> TOTAL CONNECTION uNhftGES $ 7c+�ri ��`O <br /> SEWER PERMIT FEE $ �GiOrO <br /> 3 Zd 1 <br /> ; <br /> ,�, -�- :�,� -: ,_��, - <br /> ,_ �:.� <br />