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BUILD`NG P�RMIT INFORMATION <br /> :., .,. <br /> • �� ? r _:.' . .-ss.' � ' , ' _ • <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) ENERGYCODE <br /> (5) DRIVEWAY PERMIT <br /> ,'-;:.' . ��t. ^ �r:. $ "' <br /> -, r, ; �f�.�,l �-7•.�I�:�;.' � ;c.���:�•�•-••n�-; � 'i.:- <br /> l� <br /> (6) WATER SERVICE TO BE PAID PRIOR TO ILD!NG PERMIT I UANCE $ <br /> (A) TO BE DETERMINED BY BLDG. INSPE OR INCH � r" ' ' '� � ` �. ��� " <br /> (B) EXIS'f. WATER SERVICE APPL CATION N . <br /> (7) STP,TUS OF SEWER CHARGES: <br /> BOND DISTRICT FO E <br /> N, S, E, W <br /> ORDINAN E 1171 . 5 <br /> � . . <br /> �.�, . c •, ,, .VVAT R ' <br /> .�,,,•.5.. .ER ;} '^ ',` . <br /> OTAL ORD. FEE <br /> � SEWER CONNECTI��N CHARG <br /> YEAR TRUNK $ <br /> / LATERAL <br /> / TOTAL CONNECTION CHARGES $ <br /> / \ <br /> ✓ <br /> SEWER PEFtMIT FEE $ <br />