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� r.. � <br /> FOR OFFICE USE ONLY <br /> ADDRESS _ <br /> (t) BUILDING PERMIT FEE g <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) DRIVEWAY PERMIT <br /> S <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ � <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH • t � Q�{" �' � <br /> (B) EXIST. WATER SERVICE.APPLICATION N0. (��� �>� �� � <br /> (7) STATUS OF SEWER CHARGES: I D �7I � 2„� � q�U2 <br /> BOND DISTRICT FOOTAGE N, S. E, w SJ`��J v ���A� <br /> c,1�°'" 5 � 5R <br /> n�''3� <br /> SYSTEMS DEVELOPMENT 2� <br /> WATER ���n <br /> SEWEF �9� <br /> TOTAL ORD. FEE �J�� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK S <br /> LATERAL <br /> TOTAL CONNECTION CHARCiES a <br /> SEWER PERMIT FEE $ ��_ <br /> �ZS" P_ ',�� 9 �/lo/�� <br /> �DO @ /�� / �?`�= <br />