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a <br /> �UILDING l�E�'tM:T It�1�ORIVlATION <br /> ADDRESS ------ -- -- --- _ _. <br /> (1) BUILDING PERMIT FEE <br /> � -- <br /> (A) PLA!J CFIECK FEE <br /> ��� (2) PLUMBING _ _ <br /> m�x (3) MECHANICAL ____ <br /> a y v� (4) STATE SURCHARGES <br /> H x'� (A) BUILDINGCODE <br /> y 7:r-i -- <br /> � y� (B) ENERGY CODE <br /> '� N'H (5) DRIVEWAY PERMIT _ <br /> � y�. riU <br /> H t" S — <br /> xz <br /> [�1 y� + <br /> H �o (6) WATER S[RVICE TO BE PAID PRIOR TO BUILDING FERMIT ISSUANCE S --- `U ` c--- <br /> c�» o INCH <br /> z H (A) TO BE DETERMINED BY BLDG. INSPECTOR _ __- _ -- - - <br /> ta-� H� (B) EXIST.__—.___.–WATER SERVICE. APPLICATION NO. __ . <br /> g y f..� (?) ST.4TUS O jEWER CHARGES: <br /> c� t7 m FOOTAGE <br /> g e�� BUND----�_-_.— DISTRICT -- -- -- N. s. e. ti^: <br /> z, � <br /> N v, �,. ., <br /> H O V� �y,�" <br /> ORDINANCE 1171-85 <br /> WATER - --. <br /> SEWER - - - - - - --_ _ <br /> iS � • " `' _ <br /> TOTAL ORD. P�E _._-__- _ - - -___-- <br /> e � <br />� !' SEV:ER CONVECTION i:HARGES <br />� YEAR TRUNK 5 - _ ----- <br /> ...,.,. _. <br /> �,� LATERAL -- <br />� TOTAL CONNeCTION CHARGES S :.__-__ - <br /> i � <br /> "� s _ 3O � ` - - <br /> SEWER PERMIT FEE - -- - --- <br /> ��b <br /> �r �; <br /> �~•I1 <br /> 11 <br /> 1 <br />