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� <br /> r, i^ t" <br /> FOR OFFICE USE ONLY <br /> ADDRESS � <br /> (1) BUILD�NG PERMIT FEE $ I4 <br /> (A) PLAN CHECK FEE f <br /> (2) PLUMBING <br /> (3) MECHANICAL <br /> i <br /> (4) STATE SURCHARGES ` <br /> (A)BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> 3J•'" <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ /y �D.S <br /> (A? TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (Bj EXIST. WATER SERVICE.APPLICATION NC. _ � <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE � <br /> N, S, E, W <br /> t <br /> SYSTEMS DEVELOPMENT � <br /> WATER �OOD � <br /> SEWER �� �3 ' <br /> TOTALORD. FEE /(�/3 <br /> � <br /> A <br /> SEWER CONNECTION CHARGES ` <br /> YEAR TfiUNK $ <br /> LATERAL ,� ' <br /> TOTAL CONNECTION CHARGES $ � � <br /> � <br /> SEWER PERMIT FEE $ / � ; <br /> I <br /> 4 <br /> � <br /> i <br />