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r <br /> �FOR OFFICE USE ONLY <br /> ADDi�ESS _ <br /> (1) BUILDING PERMIT FEE g <br /> (A) PLAN 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 /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ � � �).D. ,4>.�/ �;�/�6 <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH �' ���� <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) S?ATUS OF SEWER CHARGES: <br /> BOND_ DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT L <br /> WATER �(,(I L'/- _ <br /> SEWER o I y <br /> TOTAL ORD. FEE /29�.� <br /> :iEWER CONNECTION CHARGES <br /> YEAR TRUNK $ �_ <br /> LATERAL / <br /> TOTAL CONNECTiON CHARGES $ � <br /> SEWER PEFlMIT FEE $ / � <br /> /�'I � ��' . yI� =�� ���' <br /> �;�.� �� ��• �� (� 93?_ <br />