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� � <br /> FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MEGHANICAL - <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ <br /> (6) WATER SERVICE TO BE PAID PRIOR TO BUILDING PERMIT ISSUANCE $ _ !hS <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (B) EXIST. WATER SERVICE.APPLICATION NO. <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER s,/�� <br /> � SEWER 8/ t� <br /> TOTAL ORD. FEE /o�>�lo <br /> SEWER CONNECTION CHARGES <br /> , YEAR TRUNK $ <br /> LATERAL <br /> � TOTAL CONNECTION CHARGES $ <br /> a <br /> SEWER PERMIT FEE $ �/O a� <br />