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��, ,� <br /> � <br /> . .-. <br /> BUILDING PERMIT INF�RMATION <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE _ <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR l'O BUILDING PERMIT ISSUANCE $ . _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH 5,�. �/3�/ ,�zd�l�- <br /> (B) EXIST. WATER SERVICE APPLICATION NO. ��'3� �O '7 <br /> (7) STATUS OF SEWER CHARGES: �/32 (v';�uetf�� <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> ORDINANCE 1171-85 <br /> WATER <br /> SEWER <br /> TOTAL ORD. FEE <br /> ' SEWER CONNECTION CHARGES �Y/" <br /> YEAR TRUNK $ <br /> LATERAL �� R <br /> TOTAL CONNECTION CHARGES $ � <br /> SEWER PERMIT FEE $ � �� � <br />