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ADDRESS <br />(1) �.UILDin <br />� <br />BUILDING PERMIT INIFORNiAT10N <br />(/q PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(P� BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(8) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT IS�SUANCE <br />(FQ TO BE DETERMINED BY BLDG. INSPECTOR �� INCH <br />(� EXIST. WATER 5ERVICE APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND � DISTRICT FOOTAGE N, s, � w <br />e si,�.��fe �x �( a.� �/ <br />�aa� <br />t� ( <br />----- <br />aRg" <br />1 1�- <br />� � z'�G� <br />ga-5o <br />i3d�7� � <br />OfiDINANCE 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 />L <br />55 0 <br />�S <br />��-� 5 O <br />��50 <br />��f a� <br />Y• <br />• <br />J� <br />•= <br />iL <br />� <br />$ 33D `^ <br />g �� <br />