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BllILDlNG P'El�M1T 1�9Fl�RMATIARI <br /> � <br /> ADDRESS � _ _ <br /> (1) BUILDING �ERMIT FEE � <br /> (A) PLAN C ECK FEE <br /> (2) PLUMBI�vG <br /> (3) MECHANICAL <br /> (4) STATE SURCH RGES <br /> (A) BUILDfNG C�DE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIi\ <br /> � a —— <br /> ,� <br /> � <br /> ;o) WATER SERVICE TO BE�ID PRIOR TO BUILDING PERMI ISSUANCE $ ___ __ _ <br /> (A) TO BE DETERMINFD Y BLDG. INSPECTOR__ _ INCH <br /> (B) EXIST. ___WAT�R SERVICE APPLICATION O. ___ <br /> (7) STATUS OF SEWER CHARG $: <br /> BOND__ DISTRICT� <br /> FOOj GE <br /> `\ / N, S. E. W <br /> \ �.\ ORDINA�CE 11%1-85 <br /> Wg7�ER <br /> , ---- — <br /> � SEWER <br /> OTAL ORD. FEE <br /> i --- -- <br /> � <br /> SEWER OI�NECTION CHARGES <br /> jYEAR_k_ TRUNK S --------- <br /> � LATERAL <br /> �' TOTAL CONN CTION CHARGES $ _ _ <br /> � SEN.•'ER PERMIT FE g ___ _ _ _ _ <br /> � � <br /> % � <br /> / <br /> \ <br /> / \ <br /> . <br /> i � <br />