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FOR OFFICE USE ONLY <br />ADDRESS �l�6r�7 �'/fi _'� t�+��� _ <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 SERVICE TO BE PAID PRIQR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br />(B) EXIST. WATER SEP,VICE. APPLICATION NO. <br />(7) ST.'.fUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />LATERAL <br />TOTAL CONNECTION CHAR3ES <br />SEWER PERMIT fEE <br />$ <br />$ S o S�/d' 7 <br />_ i��� �o���� <br />�"�- <br />/ •y <br />/c� l'1��� <br />$ � <br />$ <br />