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. — . <br /> FOR OFFICE USE ONLY <br /> ADDRESS . <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL � <br /> (4) STATE SURCHARGE� <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> �� <br /> (6) WATEfi SEfiVICE TO BE PAID PRIOF TO Bl'ILDING PERMIT ISSUANCE $ 7� � <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. _. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT_ FOOTAGE N, s, E, w <br /> SYSTEfdS DEVEIOP�dENT �x �>f��^S /�ou��� <br /> WATER � - <br /> /L -J _�C SEWER <br /> ���,E/,�i uSe�" TOTAL ORD. FEE — <br /> 373�- �b/_Gy-- <br /> SEWER CONNECTION CHARGES <br /> �'���t Zi,S�ul(�-{ f/z � S'��-✓ YEAR TRUNK $ — <br /> Y oo LATERAL <br /> � 75� TOTAL CONNECTION CHARGES $ <br /> �.--- --- <br /> I� ��� � <br /> 7� - Sc�T.[r /�rrn� SEWER PERMIT FEE $ �� <br /> � cc,�'I^ �F+/�� , � ,�r-�'� <br /> �_ ����;L (/-�i�� <br /> �VV .$�c:GaJCY � �l��r ��✓. � � .j .3 JJ <br /> C/�r,I�e,S' (Ea'.s�;.� Housrso„ lo�l �c�� <br /> --'S <br /> COS�' �Sf'/rnRfe �N �/^e <br /> �yc% �a�avf �33oD) `;` ___ .. _... <br /> r:tnY _ <br /> PU6C�c w�r,E's P�r�,i� � �� „ . <br /> SS— �: - <br /> , _, r <br /> �. . <br /> a ,`:��� <br /> R.�:,..��,�:- ,. <br /> ,�.,_ <br /> u 4.%ti . <br /> � (�::t�'.:���r;,4� <br />