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FOR OFFICE USE ONLY <br /> ADDFESS - - <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) ENERCY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PEAMIT ISSUANCE $ E//5� <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION N0. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER ��Q <br /> SEWER /��� � � <br /> TOTALORD. FEE ,C1� �3' <br /> SEWER COKNECT�ON CHARGES I <br /> YEAR TRUNK $ <br /> LATERAL � <br /> TOTAL CONNECTION CHARCES 3 <br /> SEWER PERMIT FEE $ �C� � <br /> ,710�S •'' (o�',G <br /> 7�� C' /�� / <br />