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� <br />FOR OFFICE USE ONLY <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 SERVIC� 70 BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLUG. INSPECTOR J" /1'1��INCH <br />(B) EXIST. _WATER SERVICE. APPLICATION NO. <br />(?) STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, 5, E, W <br />SYSTEMS DEVELOPMENT <br />WATEH <br />�ya�r��:i <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHAFGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />g �3� <br />��k'2 <br />rf/� <br />iz9i� <br />