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BUILDING PERMIT INFORMATION <br />ADDRESS <br />(1) BUILDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILC�NG CODE <br />(B) ENERGYCODE <br />(5) DRIVEWAY PERMIT <br />� <br />E <br />(8) WATER SFRVICE TO BE PAID PRIOR TO BUILDINO P� MIT�ISSUANC_ S _1_��- _ <br />(A) TO BE DETERMINED BY BLDCi. INSPEC'fOR �_Q�_QL.._-_ INCH <br />(� EXIST. _ WATER SERVICE APPUCATION NO. ___ _ _ _ _ _ _ _ <br />(7) STATUS OF SEWER CHAR(3ES: <br />BOND _ OISTRICT _ FOOTAGE _ _ __ _ _ _ <br />N, S. E W <br />ORDINANCE 1171•85 <br />WATER <br />SEWER <br />TOTAL URD. FEE <br />��'�J> <br />�d�' �v <br />_ �/3 D'� - <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK S __..__ � ____ __ <br />LATERAL � ys v� _ <br />TOTAL CONNECTION CHAFOES $ _— 3�S � <br />SEWER PERMIT FEE <br />$ — JO Od <br />