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�I�ILDIAIG PERMIT' II�FORM/��IU6V <br /> ,, <br /> ; <br /> ;, <br /> A' JRESS _ — �//� - — <br /> (1) BUILDING PERM T FEE � <br /> (A) PLAN CHECK EE <br /> (2) PLUMBING / <br /> (3) MECHANICAL / <br /> (4) STATE SURCI-IARGES j <br /> ;A) BUILDING CODE /- <br /> (B) ENERGYCODE \ - - <br /> (5} DRNEWAI' PERMIT \ - <br /> S _ <br /> ; <br /> (6) WATER SERVICE TO EE PAID P IOR TO BUILDING PERt�SIT ISSUANCE S -- - - — <br /> (A) TO BE DETERMINED BY BLD . INSFECTOR_ -'__-- ___ INCH <br /> (B) EXIST. WATER SER CE. APPLICATION NO. . _ <br /> (7) STATUB OF SEWER CHARGES: <br /> BOI�ID_ ______ _ _- DISTRICT _ _ _ \ __ FOOTAGE N, s E `.. <br /> ORDINYINCE 1171-85 <br /> Wqf� — <br /> S�WE \_ -- <br /> TOTAL OHD. FEE __ — — <br /> SE/WER CONNE TION CHARGES <br /> `(,EAR TRUNK S -- <br /> LATERAL - <br /> TOTAL CONNECTIG'N bNARGES $ — <br /> r \ <br /> � SEWERPERMITFEE \ S — <br /> i <br /> i <br /> � <br />