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�UILDINCa PI�RM�'T It�IfF(�R�il�►�'fi�� ! <br /> ; <br /> � <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE ° <br /> (A) PLAN CHECK FEE I <br /> ��� (2) PLUMBING — <br /> ���x (3) h1ECNANICAL <br /> `>r3 vF,i (4) STATE: SURC4IARGES — <br /> y, <br /> �H (A) BUILDING C�DE <br /> o �� (B) ENER3YCODE <br /> yy� (.5) DRIVEWAY PERMIT ,/ <br /> � o� � --- �D75�� �� ' <br /> H t7 <br /> � mo (6) WATER SERVICE TO 9E PAID PRIOR TO BUILdING PERMIT ISSUANCE � �dJ <br /> z F,.i� (A) TO BE DETERMIPIED BY BLDG. INSPECTOR IPJCH <br /> 9H <br /> t-' H y (B) EXIST._ _WATER SERVICE APPLICATICN NO. ____-- <br /> p °1 F..� (7) STATUS OF SEWER CHARGES: <br /> o t7 v� <br /> � �� BOND_--- DISTRICT__ —_. FOOTAGE N, S, E. tv �I <br /> Hoti I <br /> ORDINANCE 1171-f15 �� � <br /> WATER Q — I <br /> SEWER �& / �� <br /> TOTAL ORD. FEE �� 3 , <br /> '�� S6WEN CONNECTION CHARGES <br /> � <br /> YEAR ____—_-- �RUNK 5 --���� <br /> �� LATE RAL <br /> TOTAL CONNECTION CHARGES $ _ — � <br /> � ,i 70 �Q <br /> SEWER PERMIT FEE � � ' <br /> ��'= <br /> t�� / <br /> I`��.� <br /> � <br /> ',> ; <br /> � , <br /> I ,, <br /> ; <br /> r <br />