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� <br />FOR OFFICE USE ONLY <br />ADDRESS <br />(1) BUIIDING PERMIT FE�_ <br />(A) FLAN CHE�K FFG <br />(2) PLUMBING <br />(3) MECF;.4NICAL <br />(4) STATE SURCNARGES <br />(A) BUILDING CODE <br />(B) ENERGY CODE <br />(5) DRIVEWAY PERMIT <br />(6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE <br />(A) TO BE DETERMINED BY BLDG. INSPECTOR �� INCH <br />(B) EXIST. WATER SERVICE. APPLICATION Nn. <br />(� STATUS OF SEWER CHARGES: <br />BOND DISTRICT FOOTAGE <br />N, S, E, W <br />SYSTEMS DEVELOPMENT <br />WATER <br />SEWER <br />TOTAL ORD. FEE <br />SEWER CONNECTION CHARGES <br />YEAR TRUNK <br />�ATERAL ! <br />TOTAL CONNECTION CHARGES <br />SEWER PERMIT FEE <br />$ <br />$ i-��D -�S <br />�jU 2S 3/J � <br />- /�,� 29��� <br />, •, <br />$ �;' <br />$ <br />g %O <br />0 <br />