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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) �AECHANICAL _ <br /> (4) STATE SURCHARGES <br /> (A) BUILDING CODE <br /> (B) ENERGY CODE <br /> (5) DRIVEWAY PERMIT <br /> $ ��D. a <br /> (6) WATER SERVICE TO BE PAID PRIOF TO BUILDING PERMIT ISSUANCE $ �s� � <br /> (A) TO BE DETERMINED BY BLDG. INSPECTOR INCH <br /> (8) EXIST. WATER SERVICE.APPLICATION NO. C =�'-`�� �� <br /> (7) STATUS OF SEWER CHARGES: <br /> BOND DISTRICT FOOTAGE <br /> N, S, E, W <br /> SYSTEMS DEVELOPMENT <br /> WATER �G'OD <br /> SEWER l0/3 <br /> TOTAL ORD. FEE /l�/� <br /> SEWER CONNECTION CHARGES <br /> YEAR TRUNK a <br /> LATERAL <br /> TOTAL CONNECTION CHARGES $ <br /> SEWEH PERMIT FEE $ ��• �� <br />