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PLMBG 06-0714
Baa Kee'cI P1D (('nnfllt'l' Penon) APPLICANT SIGNATtJ'llE APPLICANT PLEASE COMPLET& BELOW T,pe or ~ na, (1 01' siat .. FEE SCHEDULE. . JncIusuilJ, CoIlUlleldaJ & MuJd..family. 1% of job c:ost wiIb a SJ9.so minimum ~.s..New Cae A Two-Paaily 199.50 ReIiderIdaI, AddIIioas & Al1eratians 139-'0 EltimatedCost s ~f16.0D ~Pamitj ~ PLUMBJNGPERMlTFEE S ~ :s~ STATE SUllCHAllGE S '-;::f. .50 . TOTAL PDMIT JI'.U' s "40, .0 17 '. (08ia: lIet OIIIJ) I. 'IlOisAJJ1<r-....,.~y_. r,.,._-~"'" .\ DIIe 1-6. O~ ,~ ..... 8.6.0(P 14.... __..... II "-1' J r.... (tSZ)..,..... ~ (JS2)...,..a45 . . . . 522./0