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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) BUILDING CODE - <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> (6) 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 <br /> N, S, E W <br /> ORDINANCE 1171-85 <br /> WATER _ - <br /> SEWER <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR_ TRUNK $ _- <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ -_ <br /> SEWER PERMIT FEE $ -- <br /> r ' <br /> I <br />