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:� <br />� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) RU!LDING PERMIT FEE <br />(A) PLAN CHECK FEE <br />(2) PLUMBING <br />p) MECHANICAL <br />(4) STATE SURCHARGES <br />(A1 BUILDING CODE <br />(i1) ENERGY CODE <br />�5) DPIVEWAV PEHMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE OETERMINED BY BI.DG. INSPECTOR _ INCH <br />(B) EXIST. WATER SERVICE. APPLICATION NO. <br />(7) STATUS OF SEWER CHARGES: <br />BOND DISTRICT -FOOTAGE <br />N. 5. E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL OflD. f'EE <br />SEWER CONNECTIOI� CHARGES <br />YEAR _i7UNK <br />LATERAL <br />TOTAL CONNECTION CI �•,NGES <br />SEWER FLRMIT FEE <br />S <br />E <br />E__ / <br />� " ,5' 0, /ODGD <br />3/19�99 <br />�. <br />S <br />f <br />f �V <br />