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� � <br />��� <br />9HN <br />4 <br />H � <br />K n <br />'i1N�'�-0 <br />� <br />H� <br />o�d <br />��g <br />G�. c� <br />t"y� <br />HH <br />8� <br />��w <br />��� <br />� <br />/ <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) ENERGYCODE <br />(5) DRIVEWAY PERMIT <br />--�7 <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLCG. INSPECTOR INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND L DISTRICT FOOTAGE <br />N, S, E. W <br />ORDINANCE 1171-85 <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR __ _ TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />g ic� .s %. -3,P <br />, <br />9 <br />o�– <br />i���° <br />s-�9. a v <br />� �? a o <br />Lj ��G� o�. <br />� Y SU o � <br />�o <br />� � ��� — <br />�"7 \ <br />o_ <br />$ _ � S � / <br />