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� <br /> � <br /> FOR AFFICE USE ONLY <br /> ADDRESS - $ <br /> (1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBIR� <br /> (3) MECHANICAL <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DFIVEWAY PERMIT $ <br /> ;�� �Q� <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANC NCH $ � <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR <br /> (B) EXIST. WATER SERVICE.APPLICATION NO._� <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT_ FOOTAGE N S, E. W <br /> SYSTEMS DEVELOPMENT L p� <br /> O <br /> WATER ��� <br /> SEWER - `2 �� _. <br /> TOTAL ORD. FEE <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK $ <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWER PERMIT FEE $ /� <br /> /�22 � � �� � 7a 9Z <br /> �/.53 �/73 ��3 7 <br />