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� <br />�l,llLDlN� PERIIAi`P I��'�JRMiA1�lON <br />ADDRFSS `x--�--�a �� <br />(1) DUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) FNERGY CL' DE" <br />(5) DRIVEWAY PERMIT <br />(o) 4YATER SERVICE TO BE PAID PRIOR TO Bi11LDING PERMIT ISSUANCE <br />(A) T(U BE DETERMfNED BY BLDG. INSPECTOR J� INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO. <br />(7) STATI.JS OF SEWER CHARGES: <br />30ND� DISTRICT ____ FOOTAGE <br />N, S, E, W <br />ORDINANCE 1171-85 <br />WATER <br />SEWER <br />OTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR <br />LATERAL <br />�� �C� <br />----- - <br />�� � - <br />¢ ���~ - <br />$ ---c r �� �. <br />� �� ^ <br />'L� � � <br />���n .- -- <br />TRUNK � I �[� _ <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />