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. � � <br /> BUILDING PERM14 INFORMATION <br /> ADDRESS I�Q�� l�U(t� VI�I,U C.4,(! �. <br /> (1) BUILDING PERMIT FEE g ��' <br /> (A) PLAN CHECK FEE �Q�1�— � <br /> (2) PLUMBING ?� � <br /> (3) MECHANICAL � � <br /> !. <br /> (4) STATE SURCHARGES � ; <br /> (A) BUILDING CODE � f <br /> � <br /> (B) ENERG,'CODE I U ) <br /> (5) ORIVEWAY PERMIT �� i <br /> $ _ I���n � i <br /> 11�� i <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE S ' <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR�I� INCH , <br /> (� EXIST. WATER SERVICE APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: i <br /> BOND DISTRICT FOOTAGE i <br /> N. s, e w � <br /> ORDINANCE 1171-85 �� � <br /> WATER <br /> ' SEWER � c <br /> ! TOTAL ORD. FEE ok%� — i <br /> E <br /> ti <br /> SEWER CONNECTION CHARGES j <br /> YEAR TRUNK � � <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ _ € <br /> � � <br /> SEWER PERMIT FEE $ � <br /> � <br /> i <br /> 1 <br /> , <br />