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,� <br />� <br />BUILDING PERMIT INFORMATION <br />C <br />ADDRESS -� /'� �( � <br />(1) BUILDINtiPERMITFEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBIN(a <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGYCODE <br />(5) DRIVEWAY PERMIT <br />(61 WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE [�FTERMINED BY BLDG. INSPEGTOH__�_� _ INCH <br />(B) EXIST. _ WATER SERVICt. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND_��� DISTRICT FOOTAGE I( "IC' <br />N, S, � W <br />ORDINANGc 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 />5 <br />n�et� <br />� <br />�� <br />�.� — <br />���' � <br />— • _ <br />$ r f �� � --- <br />a <br />/ `�� <br />� <br />G�, - <br />��ri� <br />�I�t!i:a � � <br />(�1i4�� �ic.1 <br />