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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING P[Rtd1T FEE 6 i <br /> (A) PLqN CHECK FEE I <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A)BUILDIIJG CODB <br /> (8) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6� WATER SEflVICE TO BE PAID PRIOR TO BUILDING PEFiMiT ISSUANCE $ <br /> (A) TO BE DETERMINE�BY BLOG.INSPECTOR INCFi <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. ��f�O <br /> (I) STATUS OF S[WER CHARGES: <br /> BOND DISTRIC7 _FOOTAGE <br /> N, 6, E, W <br /> SVSTE1d5 DEVELOPMEIJT <br /> WATER <br /> SEWER <br /> TOTAL ORD.FEE <br /> SEWER COIJNECTION CHARGES <br /> YEAR TRUIJK $ <br /> LATERAL <br /> TOTALCONNECTIONCHARGES $ <br /> p0 <br /> SEWER PERMIT FEE a _ �'7Q� <br /> I <br /> 2��. <br />