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BUILDING PERMIT INFORMATION <br />ADDRESS <br />(1) <br />BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) <br />PLUMBING <br />(3) <br />MECHANICAL <br />(4) <br />STATE SURCHARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) <br />DRIVEWAY PERMIT <br />WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR__ __ INCH <br />(B) EXIST. WATER SERVICE APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT__._ FOOTAGE N. s, w <br />11� <br />ORDINANCE 1171-85 <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />CDC <br />$ _ (cn— <br />SEWER CONNECTION CHARGES <br />YEAR _ TRUNK $ <br />LATERAL <br />TOTAL CONNECTION CHARGES $ <br />SEWER PERMIT FEE <br />