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FOR OFFICE USE ONLY <br /> , <br /> ADDRESS � <br /> (1) BUILDING FERMIT FEE $ <br /> (A) PLAN CHECK FEE I <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 ILDING ERMIT ISSUANCE $ _ <br /> (A) TO BE DETERMINED BY BLDG. INSPE TOR I INCH <br /> ;3) EXIST. WATER SERVICE.A PUC TION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT F OTAGE <br /> N, S. E, W <br /> SYSTE S DEVELOPMENT <br /> WAT R <br /> SEWIE <br /> TOTdL RD. FEE <br /> SEWER CO�INEC'�ION CHARGES <br /> YEAR � � TRUNK $ <br /> LATERAL <br /> TOTAL CON�ECTIO\CHARGES � _ <br /> f �� <br /> SEWER PE�MIT FEE � $ <br /> I \ <br /> I <br /> i <br /> i <br /> I <br /> � <br /> , <br /> � <br />