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� <br />� <br /> i <br />� �tlo�D��HG PERP�11°9' II�FORf1A/AY�O� <br /> M <br />� ADDRESS _ _ _ <br /> (1) BUILDING PERMIT FEE S _ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> !B) ENERGY CODE <br /> (5) DRIVEWP;f PERMIT _ <br /> $ /l)2/�,_';%) <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMI"f ISSUANCE $ _�n=7 _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE. APPLICATION NO. _ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT �OOTAGE <br /> N, S, E, W <br /> ORDINANCE 1171-85 <br /> WATER ��7 � OO <br /> SEWER 7�'�� G� � <br /> TOTALORD. FEE �� � � - -��� <br /> SEWER CONNECTION CHARGES <br /> YEAR_ TRUNK $ <br /> LATERAL <br /> � <br /> TOTAL CONNECT;ON CHARGES $ 7� <br /> SEWER PERMIT FEE � � '� <br /> , � i <br /> ������ ��, � � " <br />