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FOR OFFICE USE ONLY <br /> ADDRESS — - <br /> (1) BUILDING PERMIT FEE $ -- <br /> (A) PLAN CHECK FEE • <br /> (2) PIUM[11NG � <br /> (3) MECH.\hICAL <br /> (4) STATE: SURCHARGES <br /> (A) BU'LDING COOE <br /> (B) ENERGY C07E - <br /> (5) DRIVEWAY PERMIT — <br /> A <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDINC', PEHMIT ISSUANCE $ _ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. _WATER SERVICE.APPLICATION NO. --- <br /> (7) STATUS OF SEWER CHHRGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S. E, W <br /> 1 <br /> I' <br /> Sl'STEMS DEVELOpMENT <br /> WA7ER <br /> \ <br /> SEWER j \ <br /> TOTAL ORD.kEE \ <br /> i <br /> SEWER CONNECTION CHARGES <br /> YEAR � TRUNK $ <br /> I <br /> LATERAL cj� — — <br /> TOTAL CONNEGTION CHARGES � <br /> I <br /> SEWER PERM�T FEE $ <br /> I <br /> I <br /> I <br />