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� <br />` FOR OFFICE USE ONLY <br />� ADDRESS <br /> (1) BUILDING PERMITFEE $ <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 /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ /CG2C IJa,f�, �// 9� <br /> INCH � <br /> (A) TO BE DETERMINED BY B�OG. INSPECTOR SO ��5� <br /> (P1 EXIST. WATER SERVICE.APPLICATION NO. n „ �9 7��� <br /> c sJ <br /> (7) STATUS OF SEWER CHARGES: <br /> BCND DISTRICT_ FOOTAGE N, S, E. W <br /> SYSTEMS D[VELOPMENT <br /> WATER --�' <br /> SEWER �/7 <br /> TOTAL ORD. FEE �� �(`� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL j <br /> TOTAL CONNECTION CHARGES S <br /> SEWER PERMIl FEE $ �n <br /> �r ;rJ_� <br /> � � <br /> - l.� , <br /> �� � , ' <br /> -- <br /> ��� � <br />