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�� <br />FOR OFFICE USE OI�ILY <br />ADDRESS _ _. <br />(1) BUILDIN�d PERMIT FEE <br />(A) PLA.V CHECK FEE <br />(2) PLUMBING <br />(3) MECHANICAL <br />(4) STATE SURCHARGES <br />(A) BUILDING CODE <br />(8) 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 />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWEf1 CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTA� CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />s ��19� so�90 3 � <br />C% � <br />/ �3 <br />�� <br />S <br />i� �� � 290/ �' �'�� <br />�333 <br />�� c� ��� � /-3. � <br />los� @ /� / <br />�O <br />i99oa�'' <br />99109 <br />/? 75�"Z <br />