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� �j L J 1 J' I <br /> � / <br /> BUILDIN�G �PERMIT INF(r1�liIMATl01� <br /> ADDRESS _ — — -- <br /> (1) BUILDING PERMIT FEE 5 -- <br /> (A) PLAN CHECK FEE — <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES -- <br /> (A) BUILDING COD6 <br /> (B) ENERGYCODE <br /> (5) DRIVEWAY PERMIT �t <br /> S e �9- ao <br /> (6) WATEFi SERVICE TO BE PAID PRIOR TO�UILDING PERMIT ISSUANCE S �U� ^ <br /> (A) TO BE DFTERti11NED BY BLDG.INSPECTOR 3�INCH <br /> (B) EXIST. WATER SERVICE APPLICATION NO. — <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND_�L�—DISTRICT_ FOOTAGE <br /> N, S, E W <br /> ORDINANCE 1771•85 <br /> WATER o�3 5� o u <br /> SEWER -r�� �� <br /> TOTAL ORD.FEE �/3.a e <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK �/ S 330, ao _ <br /> LATERAL /� 3%�� oc __ <br /> TOTALCONNECTIONCHARGES 5 7d5:ao <br /> al <br /> SEWER PEFMIT FEE 5 — �� <br /> �D5`l � � �s � 9 a, �30 <br /> 58� x I � R, �1�8 <br /> _` /u I_-- <br /> — ---- _.��,.:���a:� <br />