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, <br /> r�� ; �j � . <br /> �UILDl1�BG PERIVlIT IPIFOi�IVIQ►T10�9 <br /> ADDC�ESS —-- <br /> (1) BUILDING PERMIT FEE $ 2 �P U�p iSCU <br /> (A) PLaN CHECK FEE f (pC(.�,.j '_ �' �j fp �. (� � — 7 (n S <br /> (2) PLUM8ING � <br /> (3) MECHANICAL — � <br /> (4) STATE SURCHARGES <br /> (A) BUiLDING CODE �-�— � <br /> (B) ENERG`(CODE <br /> (5) DRIVEWAY PERMIT -- I <br /> $ ��, �� c�l, Ir5 <br /> (6) WATER SERVICE TO BE PAID PRIOR TU BUILDING PERMIT,�SSUA�CE $ �r� � <br /> (A} TO BE DETERMINED BY BLDG. INSPECTOR ��� �'�� IN�H ��� ��,( 1� (Q� 'O I <br /> (B) EXIST. WATER SERVICE APPLICATION NO. � <br /> � <br /> (7) STATUS OF SEWER CHARGES: i <br /> BOND� DISTRICT_ FOOTAGE • 'I <br /> N, S, E, W <br /> ORDINANCE 1171-85 i <br /> cv WATER <br /> ��1 � 'f- Z � = A_J(n(� SEWER a � <br /> TOTAL ORD. FEE Q- 3�'� <br /> SEWER CONNECTION CHARGES I, <br /> YEAR TRUNK $ <br /> , LA7ERAL - i <br /> ; TOTAL CONNECTION CHARGES $ � <br /> , , � SEWER PERMIT FEE $ ---.+�� <br /> ; � I�, � 9 l , �5 ��, <br /> ' I <br /> ; <br /> . .. _ . <br /> - -- , . - <br /> , . ,. : _. . .: ; <br /> . ... . � , . _ <br /> � � <br />