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� <br /> FOR OFFICE USE ONLY <br /> ADDRESS -- --- <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) DRIV[WAY PERMIT <br /> $ <br /> � <br /> (6) WATER SERVICE TO BE PAID PRICR TO BUILDING PERMIT ISSUANCE $ <br /> (A) TO BE DF,TERMINED BY BLDG. INSPECTOR_ INCH <br /> (B) EXIST. WATER SERVICE. APPLICATION NO. . <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMSDEVELOPMENT <br /> WATER ��p � <br /> SEWER J �a-'�/ - <br /> TOTAL ORD. FEE -���`�' <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ . - <br /> LATERAL - <br /> TOTAL CONNECTION CHARGES $ - <br /> SEWER PERMIT FEE $ 7O � <br /> ,�l' '� n Y/.,; u 13l �'`i . <br /> .� '��`� <br /> ��r) x /7 . ; � �_ <br /> I " �, ���� � <br /> � <br />