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<br /> BUILDING DEPARiMENT
<br /> 259•eB10 TO BE COMPLETED IN INK - PLEASE PRINT
<br /> ❑ DEMOLITION I1 COMBINATION '�OUILDING fl MECHANICAL tl PLUMBING [l SIGN
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<br /> PLUMOINO MECNANICAL
<br /> NO. TYPE OF FI%tURE OR ITEM FEE NO. T'P[OF EOUIPMENT FEE
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<br /> UUNO(1YTR�Y UNITHEAtEqS -0IU M
<br /> CLOTHES W�SHE� EVAPOMiIVE CDOLEfIS
<br /> UAINAL CLUTN[9URYE�S
<br /> DIIINKIN6 fOUNl��N VENTILAlION FAN
<br /> FLOO��O��IN HANGE 1�000
<br /> B�CKF�OW PREVGNIFRS WATER ME�TER
<br /> AOOF OR�IN$ -flnlHl F�OERS WOOD STOVE
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<br /> GAS PIPINO
<br /> E%IInU�T fAN
<br /> SUOTOT�I t lUETOTAL
<br /> PEIIMIf ! P(pMlt
<br /> TOT�LiEE � ipT�LFEE
<br /> '��a�P 9I�Bu'r �ui 51�p�r,e smF SfrB�re �'LAN CHEC� NUMBER FEE �i PECEIPt NO
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<br /> ���, 111I�� �•p�1�• °•��."r��'011 FEES VAIUATION F
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<br /> �� �'�� �� PLUMBING
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<br /> `M ,�� 1 /,,,�,G/ �i�..�i TOTAL �d-1 �Ll
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