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��ILQ�NG Pl�RIIAIT I���RM/a,i1aN <br />ACJRESS _�/_! _ %� <br />(1) BUILDIN � �FRMIT �EE <br />(A) P�AN CHECK FEE <br />(7_? PLUMBING <br />(3) MECHANICAL <br />(4) �TATE SURCNARGES <br />(A) BUILDING CODF <br />(6) ENERGY CODE <br />( �) CftIVEWAY PERMIT <br />(8) 6VR7ER SFRVIG't TO 6F ?AI� PiiIOR TO BUILDING P��RMIT ISSUANCE <br />(A) TO BE D�-�'TEFMINED �Y BLDG. INSPECTOR_ _ INCH <br />(B) EXISI'��_ VVATER ScRVICE APPLiCATION NO. <br />(7) STATUS O �EyJER CIiARGES: <br />BOND.��_ pISTRICT FOOTAGE <br />N, S, � W <br />ORDINANCE 1171-85 <br />WRl'ER <br />SEWER <br />TOTAL ORD. FE� <br />SEWER CONNE�TION CHARGE:i <br />YEAR _ TRUNK <br />LATERAL <br />TOTAL CO�JNECTION CHARGES <br />SEWER PERhfIT FEE <br />� <br />$ -- - ���` 9 -� <br />lov �' <br />--`��� — . <br />$ —_!� p. _�- <br />,�,� y - <br />�-�r`- <br />,� /3 <br />$ —�// D � <br />$ <br />