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''� �,.. , <br /> �J �,� <br /> BUILDING PE�MIT INFORMA7'iQN <br /> ADDRESS _ ��� '�I TU� �7�. �L�— <br /> (1) BUILDING PERMIT FEE $ ���' �� <br /> (A) PLAN CHECK FEE � ����— <br /> �2) PLUMBIWG ��/�� <br /> (;;) MECHANICAL L.L. <br /> (4) STATE SURCHARGES <br /> (A; BUILDINGCODE ,1_I <-X:'_ <br /> (B) ENERGYCODE /' <br /> (5) DRIVEWAY PERMIT ���t >�— <br /> :V ' �`�� <br /> g � �� 1 <br /> F'�) <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _ C�`C- ' �l <br /> (A) TO BE DETcRMINED E'Y BLOG. INSPECTOR '��1� I _ INCH <br /> , (B) EXIST. WATER SERVICE APPLICATION NO._ <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND_� DISTRICT FOOTAGE � <br /> � ' N, S, �, W �� <br /> ORDINANCE 1171-85 <br /> WATER ��-`- I � <br /> �- C <br /> SEWER �--� <br /> TOTAL ORD. FEE �� ��� <br /> , SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ — <br /> `.r' <br /> t' LATERAL � — <br /> ; TOTAL CONNECTION CHARGES $ �! <br /> �' <br /> >i <br /> �� �� I <br /> SEWER PERMIT FEE $ t� <br /> ; <br /> �� ZZ <br /> u <br /> � <br /> I o�y �`I ,�4 <br /> �lJ �$ <br /> ; �— 15 <br /> ; aN �o �I ,��zv <br /> `I F s 5 � _ <tB �I <br /> ; �-pa � - �- <br /> ' L la �OO <br /> ' � a� o <br /> �� �o sa� '+ <br /> � <br /> i <br /> �i . ,- . . <br /> .._-: , „-:.:. . -- <br /> _ <br /> - - -- <br />