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� � � <br /> � <br /> BUILDING PERMIT INFORMA'TION <br /> ADDFESS — <br /> (1) BUIL.DING PERMIT FEE $ �f 6 � II <br /> (F,) PLAN CHECK FEE �ztFQ,QO - cZ ��.Q� a. Q3 <br /> (2) PLUMBING C' ��J <br /> (3) MECHANICAL �y'�� <br /> (4) STATE SURCHARGES �'��— <br /> (A) BUILDING CODE �4 6-�� <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT '� � <br /> $ _ <br /> � �z .��3 <br /> (6) WATER SERVICE TO i�E PAID PRIOR TO BUILDING PERMIT ISSUANCE � �S� fU <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR��- �NCH I <br /> (B) EXIST._ _WATER SERVICE APPLICATION NO.— <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND�— DISTRICT FOOTAGE <br /> N, S, E. W <br /> ORDINANCE 1177-85 <br /> WATER — <br /> 1�- <br /> _y7� <br /> SEWER / �- � <br /> TOTH�ORD. FEE �� <br /> SEWER CONNECTION CHARGES n � <br /> YEAR TRUNK �r�`'$ _ � /-(�-- � <br /> LATERAL - �� � <br /> TOTAL CONNECTION CHARGES S __-- � I <br /> I <br /> SEWEH PEFiMIT FEE � - '3� � I <br />