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FOR OFFICE USE ONLY <br /> ADDRESS_ <br /> (7) BUILDINC, PERMIT FEE $ <br /> (A) PLAN CHECK FEE • <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENEROY CODE � <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> I <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDI� PERMIT ISSUANCE S <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR�—INCH <br /> (B) EXIST. WATER SERVICE.APPLI�ATION NO. <br /> (7) STATUS OF SEWER CHARGES: ', <br /> BOND DISTRICT FpOTAGE N, 5. [, W <br /> SYSTEMS DEVELOPMENT <br /> WATEb — <br /> SEWE�i I�� <br /> TOTAL�ORD. FEE <br /> I <br /> SEWER CONN�CTION CHARGES <br /> YEAR —TRUNK $ <br /> LATERAL I' <br /> TOTAL CONNEC�TION CHARGES $ <br /> I <br /> 8EWEH PERM�T FEE $ <br /> J 1 I <br />