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FAR OFFICE USE ONLY ij <br /> � <br /> ADDRESS I� _----- <br /> $ <br /> (i) BUILDING PERMIT FEE __�_ <br /> (A) PLAN CHECK FEE <br /> (p) PLUMBING <br /> (3) MECHANICAL �_ <br /> (4) STATE SURCHARGES �_ <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE �- <br /> (5) DRIVEWAY PERMIT $ _ _ � <br /> �g) WqTER SERVICE TO BE PAID PRIOR TO BUIL IN PERMIT ISSUANCWCH $ <br /> (A) TO BE DETERMINED BY BLDG. INSPECTO <br /> (B) EXIST..-.--WATER SERVICE.APPLI'ATION NO._--- <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND.�-- <br /> DISTRICT�F ,OTAGE N S E w <br /> SYSTIEMS DEVELOPMENT <br /> WATER �- <br /> SIEWER - <br /> 70TAL ORD. EE <br /> ISEWER CONNECTION HARGES <br /> YEAR TRUNK $ -�- <br /> LATERFjL � - <br /> TOTAL i ONNECTION CHARGES $ - - <br /> SEWER, PERMIT FEE $ <br /> � <br />