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_, <br /> FOR OFFICE USE ONLY <br /> ADDRESS - - -� <br /> (1) BUILDINGPERMITFEE $ <br /> (A) PLAN CHECK FE[ - <br /> (2) PLUMBING <br /> (3). MECHANICAL <br /> (4) STAI"E SURCHARGES <br /> (A) BUILDING CODE �� <br /> (B) ENERG'Y CODE \ <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (G) Wt�TER SERVICE TO BE PAID PRIOR TO BUILDI PERMIT ISSUANCE <br /> (A) TO BE DETERMINtD BY BLDG. INSPECTOFl _INCH <br /> (B) EXIST. WATER SERVICE.APPLICA ION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOT GE <br /> N, S, E, W <br /> SYSTEMS DEVE MENT <br /> WATER <br /> SEWER <br /> TOTA ORD. FE <br /> SEWER ONNECTION CHA�IGES <br /> YE1A TR�\ $ <br /> L TERAL <br /> OTAL CONNECTION CHARGE $ <br /> / SEWER PEFMIT FEE $ - <br /> \ <br /> ,\ <br /> , <br /> j <br />