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t <br />�UiL����fG ���3l9RA!"� IRI�'QRMATE�9N <br />ADDRESS _ `�G ) <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) P�UMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(Bj ENERGY CODE <br />(5) Da!VEWAY PERMIT <br />(c) WATER SERVICE TO 3E PAID PRIOR TO BUILDIf�G PER!AIT ISJSUANCE <br />!A) TO BE DETERMINED BY BLDG. INSPECTOR '� �! INCH <br />(B) EXIST. bVATER SERVICE APPLICATION NO. _ <br />(7) STATUS OF�WER CHARGES: <br />BOND �,�— DISTRICT _ FOOTAGE <br />N, S, � W <br />ORDINANCE 1171-85 <br />N/ATER <br />��WER <br />TOTAL ORD. FEE <br />SEWER COtJNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />- � �` -- <br />L�� <br />.� <br />�� <br />—�l_r�___L _ <br />^�t <br />� T�� —. <br />$ ��n <br />� �:�r� ------- <br />