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�..,.. � � <br /> BUILDlNG PERMIT INFOl�MATION <br /> �¢ � � ADDRESS __ _—-- --- — --- <br /> ta � <br /> y (1) BUILDING PERMIT FEE <br /> c � <br /> � � � (A) PLAN CHECK FEE — <br /> K y � (2) PLUMBING - <br /> °v y ro (3) MECHANICAL — <br /> � � � (4) STATE SURCHARGES - - <br /> ,°�a n o (A) BUILDING CODE <br /> c�i 1° R (B) ENERGY CODE <br /> H c <br /> � y � (5) DRIVEWAY PERMIT <br /> 1-1 H .rD ... _ <br /> Cp N <br /> n O N <br /> � � [r9 / _ ' __ <br /> y o y (6) WATER SERVICE TO 8E PAID PRIOR TO BUILDING PERMIT ISSUANCE S - <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR___ ---_ __ INCH <br /> (B) EXIST. —--WATER SERVICE APPLICATIO� NO.___ _ _ _-- <br /> (7) STATUS OF SEWtR CHARGES: <br /> BOND _ DISTRICT__ FOOTAGE <br /> N. s. �. v✓ <br /> �� <br /> � �,y-' � ORDINANCE 1171-85 <br /> r�� �� a.. ..� v ,,v WATER �5',; >. ?S - -- - <br /> � �_. � a a a <br /> ;.� � R �7, U SEWER _ Y �-s� -- <br /> ;'�.n. , ( C , O 50 ° --- -_ <br /> ' ' � ,� � TOTAL ORD. FEE _.�,_----- `— <br /> 3� - -- - <br /> �� � SEWER CONNECTION CHARGES <br /> '�� <br /> ��I YEAR. _- TRUNK S _ _. -- ._ —. <br /> LATERAL - <br /> TOTAL CONNECTION CHARGES S _ <br /> � �� <br /> SEWER PERMIT FEE S i' _ _ - —.-- <br /> �1 <br /> •�� <br /> ,i. .:_�c �'�� , . - . - <br /> � � � � � , �,- <br /> � ._��='- ��' � ,_s;% ✓-. <br /> � �_I.,,.� <br /> � l.�v�' (� <br /> -f�.�o, ;z �z.��. � C- - �'t;.._.� �� <br /> � � �G`/(��/ <br /> %� .� �'f c�CnJ �ntz�ujf o <br /> �J U <br /> ,� ,C�., �cK'.k�• ---—---_ G�0 <br /> - ;< <_� ,��,..c �h-�- �6 � � � <br /> 1.A_/L �a-C-C <br /> -- -�" ._ -,�.�:� . !'-� '� <br /> . . , _ /" - ._. <br /> i <br />