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T� <br /> �OR OFFiCF' USE ONLY <br /> ADDRESS __ <br /> (1) BUILDING PEFMIT FEE S _. <br /> (A) P�AN CHECK FEE — _ <br /> (2) PLUMBING — _ <br /> (3) MECHANICAL _ __ <br /> (4) STATE SURCHARGES _ <br /> (A) BUIIDING CODE _ _ <br /> (B) ENERGY COD[ , �1^�.�. _— — — <br /> l✓� <br /> (5) aRIVEWAY PERMIT �. , �1/ —� <br /> ���N' s =_— <br /> , rY, <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _L—� •�• �7`�� i�/j� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR _iNCH ��� ' °xY'`�'3 <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOQTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT / �� <br /> WATER — <br /> SEWER <br /> TOTAL ORD. FEE ��l-� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ ��� <br /> i/l' 7 ��' �%9 SS2 �/� <br /> ��o �y� �y- � ��U �1 <br />