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� i-� <br /> FOR OFFICE USE ONLY <br /> . , �. ,;. I t,, �• C:' \ . <br /> ,`..j`� }.'� :;�-)� ' _. .,-- , . . .�-. <br /> . <br /> . . <br /> ADDRE�S ' _ <br /> (1) BUILDING PERMIT FEE $ - <br /> (A) FLAN 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 /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERM ISSUANCE . $ <br /> (A) TO BE DETERMINED BY BLDG. INSP CTOR INCH <br /> (B) EXIST. WATER SERVICE. PPLICATION O. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND _DISTRICT FOOTA E <br /> N, S, E, W <br /> SYSTE D VELOPMENT <br /> WATE - <br /> SEWER <br /> TOTAL . FEE <br /> SEWER CONN CTIO CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONN CTION CHA GES $ <br /> SEWER PER IT FEE $ <br /> � <br /> \.� <br />