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� <br />� <br /> � '`� <br />, � <br /> ��� BUILDING PERMIT INFORMATIOk <br /> H <br /> ["y� <br /> �� � ADDRESS ��=�� °Zyy� L�fl S� — <br /> x'� (1) BUII�iNG PERMIT FEE , �da ,S�Z-- <br /> � y� (A) PLAN CHECK FEE <br /> �p�Ji (2) PLUMBING SS.(�J <br /> y �y (3) MECHANICAL � .r/---��— <br /> p�,j (4) STATE SURCHARGES <br /> II � i-+ ~ (A) BUILDING CODE �S�— <br /> >H <br />�I t" i..i (8) ENERGY CODE <br /> ��y (5) DRIVEWAY PERMIT ��� <br /> y� $ <br /> �O��i+ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ �� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR �j�.�/ �l INCH <br /> (B) EXIST. WATER SERVIGt.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT__ FOOTAGE N, s, �, w <br /> ORDINANCE 1171-85 <br /> WATER —. - — I-ZQ <br /> SEWER ��� — <br /> f ' TOTAL ORD. FEE _ �S d <br /> 1�/ <br /> '�� SEWER CONNECTION CHARGES <br /> '_' YEAR -- TRUNK � _. _ -- <br /> LATERAL -- <br /> ' TOTAL CONNECTION CHARGES � _. _ <br /> 1� - <br /> G � <br /> '�' SEWER PERMIT FEE � __� <br /> ��� i�l3a.uc� <br /> 1 <br /> 1 <br /> 1 <br /> 1 <br /> ; <br /> , � <br /> � I, <br />