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� <br />. FOR OFFICE USE ONLY <br /> r <br /> ADDRESS_ <br />� (�) BUILDING PERMIT FEE <br /> $ <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 />� - .. $ - <br />� {6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ �/�j" - <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (� STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT /�� <br /> WATER i� <br /> SEWER �/� <br /> TOTALORD. FEE _ �Z�(� <br /> SEWER CGNNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ � <br /> SEWER PERMIT FEE $ / L/ ^ <br />