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FOR OFFICE USE ONLY <br /> ADDRESS <br /> (1) BUILDING PERMIT FEE $ <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING � <br /> I <br /> (3) MECHANICAL I <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE �- <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> 5 <br /> (6) WATER SERVICE TO BE PAID i'RIOR TO BUILDING PERMIT SSUANCE $ <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 N E, W <br /> SYSTEMS DEVELOPME T <br /> WATER <br /> SEWER <br /> TOTAL ORD. F <br /> SEWER CON, CTION CHARGES <br /> 'rEAR / TRUNK \ $ <br /> LATE�L �'� <br /> ,TOTAL CONNECTION CHARGES �� $ <br /> � <br /> � <br /> SEWER PERMIT FEE � $ <br /> , <br /> I <br />