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,...., ::�, � <br /> BUi�.l�lNG P�RMlT IN�C1F311��lTIAN <br /> ,�.;� — �uL„v',,_1'��-- — ----- — — <br /> ADDRESS -- --(�1�11 - - <br /> (1) BUILDING PERMIT FEE � ���� <br /> i-' <br /> (A) PLAN CHECK FEE - <br /> -��- <br /> �C� (2) PLUMBING /�/ <br /> tn t7 _ --�(�-�-- - <br /> ��� {3) MECHANICAL _ <br /> a y y (4) STATE SURCHARGES - \ <br /> y �3i (q) BUILDING CODE , !�Q <br /> �j <br /> '� y� (B) ENERGY CODE � <br /> � NH (5) DRIVEWAY PERMIT <br /> S __ -o_-- <br /> oy C I �' _ <br /> � �g (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S - -LG�- - <br /> c�� o ���� INCF� <br /> � H� (A) TO BE DETERMINED BY BLDG. INSPEGTOR <br /> i'3 z (g) EXiST. _ WPSER SERVICE. APPLICATION NO. <br /> r+H <br /> gy 17) STATUS OF SEWER CHARGES: <br /> dy BOND . DISTRIGI FOOTAGE E . <br /> � �� <br /> HO� <br /> ORDI�JANGE 1171-85 � � � �� <br /> „��,Tf=R - `J/ lOp - <br /> �,C\'JER _ _ _ __ !lU �-- <br /> fOTAL ORO. FEE � 5Q �-_ <br /> 1 I <br /> '�� SEeVER CONNECTION CHAN6�'.S � <br /> Y[AR . _ . _. . TRUNK � . � �L� <br /> �� � LATERAL - -- <br /> ��-- <br /> TOTAL CONNECTION CHARGES S —--:- l�___ <br /> t" '�t (T <br /> � ' S�WE�a ���_«���, E=�E � 3�p - <br /> e— <br /> _., _ <br /> � .°~I <br /> ��1 1 <br /> ; <br />