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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE j' $ _ <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 /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BU DING PERMIT ISSUANCE $ _ <br /> (A) TO BE DETERMINED BY BLDG. INSPE R INCH <br /> (B) EXIST. WATER SERVIC .AP LICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT OOTAGE <br /> N, 5, E, W <br /> SYSTEMS EVELOPMENT <br /> WATER <br /> SEWER <br /> TOTALOR . FEE <br /> SEWER CONNECTIO CHARGES <br /> YEAR TRUNK $ <br /> � LATERAL <br /> TOTAL CONNECTION CHA ES $ <br /> SEWER PERMIT FEE $ <br />