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FOR OFFICE USE ONLY <br /> ADDRESS_�- $ <br /> (1) BUILDING PERMIT FEE <br /> (A) PLAN CHECK FEE <br /> (2) PLUMBING <br /> (3) MECHANICAL / _ <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT $ <br /> (g) WATER SEFVICE TO BE PAIU PRIOR TO ILDING PERMIT ISS ANC NCH $ <br /> (A) TO BE DETERMINED BY BLDG. INSPE TOR , <br /> (B) EXIST.�-WATER SERVICE.A PLICATION NO.�- <br /> (7) STATUS OF SEWER CHARGES: �%/ <br /> BOND -DIS7RICT FOOTAGE <br /> N, S, E, W <br /> / � <br /> SYSTEM DEVELOPMENT <br /> / WATE <br /> � SEWER <br /> � TOTAL O . FEE <br /> / <br /> / SEWER CONNECTIO�I CHARGES <br /> %� YEAR_�, TRUNK $ - <br /> � '� <br /> % LATERAL ` <br /> TOTAL CONNECTION CHA,RGES $ <br /> SEWER PERMIT FEE $ - <br /> \ <br />