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� <br />FOR OFFICE USE ONLY <br />ADDRESS_ <br />(1) BUIlDlh3 PERMIT FEE <br />(A) PLAN CHECK f�EE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHAqGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PER�T SSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR � INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />80ND DISTRICT FOOTAGE <br />N, S, E, W <br />��-5 9 <br />� yo <br />� 2� <br />SYSTEMS UEVELOPMENT <br />WATER <br />SEWER <br />TOTAL OR6. FEE <br />SEIYER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />5 <br />5 <br />� <br />g `' .> 9/. <br />.Sv �i'�j'_3 <br />p�� <br />—�d � - <br />/� 4�l <br />$ . <br />$ <br />$ l� <br />