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� <br />��� <br />� � <br />��� <br />�tl�� <br />��� <br />�o <br />r3 <br />Q�<5 <br />ry�H <br />�A <br />N <br />���" <br />OW <br />� <br />� <br />� <br />��� <br />BUILDING PERMIT INFORMATION <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGV CODE <br />(5) DRIVEWAI PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUIIDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO. <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 />3 <br />SE'WER CONNECTION CHARGES <br />YEAR TRUNK $_ <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />SEWER PERMIT FEE <br />1 "�(' <br />V� <br />$ �Q <br />� 1 � <br />